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结直肠息肉是一种常见病,不仅有癌变倾向,也是下消化道出血的常见原因之一。过去对于普通乙状结肠镜可达到的结肠息肉,可采用乙状结肠镜摘除。而息肉位于更高的部位,则需剖腹手术。由于有了纤维结肠镜,大肠息肉的诊断率已明显提高,发现了许多X线检查所遗漏的病例。目前除广基和家族性息肉病外,绝大多数的结直肠息肉都可以采用纤维结肠镜电灼予以摘除。随着内镜的广泛应用,操作技术的提高,近几年来我院曾一次经肠镜电灼摘除大肠息肉30枚,对巨大的肠息肉采用一次分块切除亦取得了明显的治疗效果。改变了过去对多发性肠息肉需分次电灼切除和巨大肠息肉(>4cm)需剖腹切肠的观念。大量的临床资料表明本疗法是结直肠息肉理想的治疗方法。 1 大肠息肉摘除方法
Colorectal polyps is a common disease that not only has a tendency to become cancerous but also one of the common causes of lower gastrointestinal bleeding. In the past, sigmoid colonoscopy was used to remove colon polyps that can be achieved with common sigmoidoscopy. With polyps on higher sites, laparotomy is required. Because of the colonoscopy, the diagnostic rate of colorectal polyps has increased significantly, and many cases of X-ray examination have been missed. In addition to GK and familial polyposis, the vast majority of colorectal polyps can be removed by fibro-colonoscopy. With the wide application of endoscopes and the improvement of operation techniques, in recent years, 30 cases of colon polyps have been removed by enteroscopy through electrocautery in our hospital. A large block of intestinal polyps has also achieved significant therapeutic effects. It changed the idea that in the past, multiple gut polyps need to be divided and the large intestinal polyps (>4cm) need cesarean section. A large number of clinical data indicate that this therapy is an ideal treatment for colorectal polyps. 1 Large intestine polyp removal method