结肠镜下诊治老年性大肠息肉的临床价值

目的探讨结肠镜下老年性大肠息肉的诊断、治疗及癌变的相关因素。方法回顾性整理连续6年来高频电治疗老年性大肠息肉226例,分析其息肉的大小、部位、基蒂和组织学特点。结果便血是结肠息肉最常见的症状,直乙状结肠是息肉的好发部位,>2cm,广基腺瘤性息肉发现癌变的比例高。结论高频电切除老年性大肠息肉是安全、经济、简单、痛苦小的治疗方法。积极治疗大肠腺瘤性息肉是预防老年性大肠癌的措施之一。

Clinical values of diagnosis and therapy polyps by endoscopy in aged people

Objective: To study the correlative factors of diagnosis,therapy and malignant change of colonic polyps in aged people by endoscopy. Methods: Used retrospective analysis to study 226 aged people with colonic polyps in our hospital in recent 6 years on size, position, fundus, pedicel and histological characters. Results: The most frequent symptom was hemafecia; the predilection site was rectum and sigmoid flexure; the adenomatous polyps in diameter >2 cm and with broad fundus have a higher tendency to malignant change. Conclusions: High frequency electrosection therapy to remove the polyps in aged people is a safe,economical and simple means with less affliction.