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近10年来应用纤维结肠镜检查了有腹痛、腹泻或便血等患者11042例,检出大、小肠息肉2614例(23.67%)。摘除0.3~10cm息肉6091枚,其中镜从小肠中段切口或从肛门插入清除小肠息肉9例,息肉62枚。无肠穿孔、大出血等严重并发症。在摘除巨大息肉时,每圈套一块组织应<2.0cm。对全身情况好的中青年患者,如息肉有蒂,可适当增加摘除息肉的枚数。本组1次圈套摘除1.0~2.5cm的有蒂息肉10枚以上者81例次,其中1次摘除最多者46枚,最大1枚10cm×9cm×8cm。1次凝除小息肉最多的是70枚。
In the past 10 years, 11042 patients with abdominal pain, diarrhea, or blood in the stool were examined by colonoscopy. 2614 cases (23.67%) of large and small intestine polyps were detected. A total of 6091 polyps of 0.3-10 cm in size were removed, in which 9 cases of small intestine polyps and 62 polyps were removed from the middle of the small intestine or inserted from the anus. No serious complications such as intestinal perforation, hemorrhage, etc. When removing huge polyps, a tissue should be <2.0 cm per snare. For young and middle-aged patients with good general condition, such as polyps, the number of polyps may be appropriately increased. This group of snares removed 1.0 to 2.5cm of pedunculated polyps more than 10 cases of 81 cases, including a maximum removal of 46, the largest one 10cm × 9cm × 8cm. The largest number of small polyps was once a day was 70.