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目的评估老年人内镜下大肠息肉高频治疗的安全性。方法回顾分析65例≥60岁老年人接受内镜下大肠息肉高频电治疗的临床资料,分析其息肉大小、病理类型、临床并存症及内镜治疗过程、前后注意事项等。结果 65例老年人均成功行大肠息肉高频电切除,观察到术中对患者的心律、血压有所影响,经积极处理后均未影响后续操作,术后无严重并发症。结论在严格掌握适应证,充分做好术前准备及术中严密监护的前提下,老年人大肠息肉高频电治疗是安全可行的。
Objective To evaluate the safety of endoscopic high frequency polyps in elderly patients. Methods Retrospective analysis of 65 cases of ≥60 years old patients undergoing endoscopic high frequency polyps of colorectal cancer treatment of clinical data, analysis of its polyp size, pathological type, clinical coexisting disease and endoscopic treatment process, before and after the precautions. Results All the 65 elderly patients underwent high-frequency electrosurgical excision of colorectal polyps. The patients’ heart rate and blood pressure were observed during the operation. No postoperative follow-up was found after active treatment. No serious complications were found after operation. Conclusion Under the premise of strict indications, adequate preoperative preparation and intensive monitoring during operation, it is safe and feasible to treat high-frequency colorectal polyps in the elderly.