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目的探讨无痛内镜下黏膜切除术治疗结肠无蒂息肉的临床效果及并发症进行探讨。方法对52例结肠无蒂息肉在芬太尼、丙泊酚静脉麻醉下行内镜下黏膜切除术,对切除标本进行病理组织学观察,术后定期内镜随访一年,以评价切除效果,记录术中术后发生并发症及处理情况。结果 52例患者81颗息肉均一次性切除成功率100%,1年后复查2例复发。总有效率为96.15%,复发率为3.85%,出血1例给予氩气凝固术(APC)治疗及药物喷洒治疗成功止血,未发现穿孔及其他并发症。结论无痛内镜下黏膜切除术是一种安全微创的治疗手段,具有成功率高,操作简单、安全、无痛苦,损伤小等特点,值得临床推广和应用。
Objective To investigate the clinical effects and complications of painless endoscopic mucosal resection for the treatment of colon polyps. Methods Endoscopic mucosal resection was performed in 52 patients with pedunculated polyps without fenestration in fentanyl or propofol. The specimens were removed for histopathological examination. The patients were followed up for one year by endoscopy to evaluate the effect of resection. Intraoperative and postoperative complications and management. Results 52 cases of 81 polyps were 100% successful one-time resection, 1 year after the review of 2 cases of recurrence. The total effective rate was 96.15% and the recurrence rate was 3.85%. One case of hemorrhage was treated by argon coagulation (APC) and drug spraying successfully. No perforation and other complications were found. Conclusion Painless endoscopic mucosal resection is a safe and minimally invasive treatment and has the characteristics of high success rate, simple operation, safety, no pain and little injury. It is worthy of clinical promotion and application.