结肠镜高频电切小儿大肠息肉54例临床分析

目的:探讨结肠镜高频电切在小儿大肠息肉治疗中的价值。方法:清洁肠道后应用结肠镜对54例小儿大肠息肉行镜下高频圈套器电凝切除术,术后标本送病理检查。结果:54例大肠息肉患儿共摘除息肉71颗,其中单发息肉45例,2颗或2颗以上息肉9例。病理结果:幼年性息肉71.7%(43/60),炎性息肉11.7%(7/60),腺瘤性息肉16.7%(10/60)。结论:结肠镜高频电切在小儿大肠息肉治疗中具有安全可靠、创伤性小、方法简便、小儿可耐受的优点,为小儿大肠息肉的治疗提供了一种可靠的方法,值得临床推广应用。

Analysis of 54 juvenile cases with colonic polyps treated by colonoscopy

Objective： To investigate the value of electric cutting by colonoscopy at high frequency in treating juvenile colonic polyps. Methods：After bowel being cleaned 54 children with colonic polyps received undergone electric cutting by colonoscopy at high frequency. After surgery, specimens were sent for pathological test.Results： There were 71 polyps, including 45 patients with single polyps, and 9 patients with 2 or more polyps.Pathological results revealed that juvenile polyps accounted for 71.7% （43,/60）, inflammatory polyps for 11.7% （7/60）, and adenomalous polyps for 16.6% （10/60）. Conclusions： Electric cutting by colonoscopy at high frequency is safe and reliable. It is of small invasivc, and tolerable for children. So it is worth clinical apolication.