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消化道肿瘤种类繁多,发病率高。常见者有腺瘤、平滑肌瘤、脂肪瘤、纤维瘤、类癌、癌及肉瘤等。既往多依靠手术治疗,近十年来随着科学技术的进步,新型内镜及新型内镜器械不断推出,内镜诊疗技术迅速改进和提高,许多病变已能在内镜直视下治疗,新兴内镜外科澎勃发展,已成为消化道肿瘤的一种痛苦小、花费少、安全有效的治疗方法。 1 巨大腺瘤的内镜治疗 消化道息肉>3cm者称为巨大息肉,既往多视为内镜治疗的禁忌症,近年来随着大块活检法、分块切除法等新技术的应用,内镜治疗已成为可能。作者经内镜高频电摘除消化道巨大息肉84例,未发生严重并发症。
There are many kinds of digestive tract tumors and the incidence rate is high. Common are adenomas, leiomyomas, lipomas, fibroids, carcinoids, cancers, and sarcomas. Previously relying on surgical treatment, in the past decade, with the advancement of science and technology, new types of endoscopes and new endoscopic instruments have been introduced. Endoscopic diagnosis and treatment technology has been rapidly improved and improved, and many lesions have been treated under endoscope under direct vision. Microsurgery has developed vigorously and has become a painful, less costly, safe and effective treatment for digestive tract tumors. 1 The endoscopic treatment of large adenomas with gastrointestinal polyps >3cm is called giant polyps. It has been considered as a contraindication for endoscopic treatment in recent years. In recent years, with the application of new techniques such as large-scale biopsy and segmentectomy, Mirror treatment has become possible. The authors removed 84 cases of giant polyps in the digestive tract by high-frequency endoscopy without serious complications.