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目的 探讨纤维结肠镜治疗小儿肠息肉的应用价值和体会。方法 对 5 84例结肠息肉患儿应用纤维结肠镜高频电凝电切灼除息肉 ,对其中 4例应用剖腹术时经肠切口插入纤维结肠镜电切小肠息肉。结果 全组共摘除结肠息肉 738枚 ,术中利用肠镜电切小肠息肉 46枚 ,未发生大出血及肠穿孔等并发症。结肠息肉主要位于直肠、乙状结肠 ,占 83.9%。 492枚息肉送病理检查 ,88.8%为幼年性息肉。结论 纤维结肠镜高频电灼除术是治疗儿童肠息肉安全而有效的方法 ,可预防息肉并发肠出血、肠穿孔以及癌变的发生。
Objective To investigate the value and experience of fibro-colonoscopy in the treatment of intestinal polyps in children. Methods Five hundred and seventy-four cases of colonic polyps were treated with fibro-colonoscopic high-frequency electrocoagulation and polypectomy. Four of the four cases underwent laparotomy with stapled colonoscopies. Results A total of 738 colon polyps were excised in the whole study. 46 intraoperative small intestine polyps were dissected by using endoscopy, no complications such as hemorrhage and intestinal perforation occurred. Colon polyps mainly located in the rectum, sigmoid colon, accounting for 83.9%. 492 polyps sent for pathological examination, 88.8% of juvenile polyps. Conclusion Fibronectomy is a safe and effective method for the treatment of intestinal polyps in children. It can prevent polyps from intestinal bleeding, intestinal perforation and carcinogenesis.