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目的 :探究EMR治疗大肠高级别上皮肉瘤变性息肉的治疗效果并观察其安全性。方法 :选取在我院进行过大肠高级别上皮内瘤变性息肉治疗的54例患者,通过观察资料记录发现患者大肠息肉的类型主要分为四类:山田I性、山田II型、山田III型、山田IV型。依据患者息肉大小和有无蒂将患者分为三组,分别采用套圈电切、氩离子血浆凝固术(APC)、内镜下黏膜切除术(EMR)对患者进行治疗。通过观察治疗效果和分析3~6月镜下随访,得出实验结论。结果 :EMR是一种治疗大肠高级别上皮内瘤变性息肉的有效手段,与其余治疗手段相比,EMR的治疗效果个更加明显,能有效降低患者的并发率,提高患者的治愈率,具有统计学意义。患者接受了3~6个月镜下随访,均未发现复发迹象。由此可见,EMR用于治疗该种疾病十分安全。结论 :EMR是一种治疗大肠高级别上皮内瘤变性息肉的重要手段,可以有效地降低患者的发病率和死亡率,安全性极好。针对不同大肠息肉类型的患者可以采用不同的治疗手段,提高治疗效果。
Objective: To investigate the therapeutic effect of EMR on the treatment of degenerative polyposis in high-grade colorectal carcinomas and to observe its safety. Methods: Fifty-four patients with polyneuropathy of high-grade intraepithelial neoplasia were enrolled in our hospital. The types of colorectal polyps were divided into four groups according to the observation records: Yamada I, Yamada II, Yamada III, Yamada IV type. The patients were divided into three groups according to the size of the polyps and the presence or absence of polyps. The patients were treated by electrosurgical excision, argon plasma coagulation (APC) and endoscopic mucosal resection (EMR) respectively. By observing the treatment effect and analysis of 3 to 6 months microsurgery, the experimental conclusion. Results: EMR is an effective method for the treatment of high-grade intraepithelial neoplasia polyp in the large intestine. Compared with other treatments, EMR is more effective and can effectively reduce the incidence of complications and improve the cure rate of patients with statistical significance Significance of learning. Patients underwent microscopic follow-up of 3 to 6 months, and no signs of recurrence were found. This shows that EMR is very safe for the treatment of this disease. Conclusion: EMR is an important method for the treatment of high grade intraepithelial neoplasia polyps. It can effectively reduce the morbidity and mortality of patients with high safety. Different types of patients with colorectal polyps can use different treatment methods to improve the therapeutic effect.