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1996年我们为2例 Peutz-Jegher 综合征(PJS)患儿采用经腹小肠切口插入小儿纤维结肠镜(Olympus,CF,201型)电切小肠息肉,报告如下。例1 男,11岁。自生后发现唇、颊粘膜、指(趾)端和手掌有褐色斑。5岁时便血,排便时息肉自肛门脱出,在外院摘除。曾作上消化道钡餐检查发现空肠2枚2.0 cm×1.5 cm 息肉。纤维结肠镜检查并切除升结肠1枚0.5 cm×0.5 cm×1.0 cm 息肉。入院时 Hb 51 g/L,RBC 1.64×10~(12)/L。输血后,手术探查见空肠套叠,套入肠管20 cm,肠管无坏死,手法复位。触及空肠多枚息肉,回肠1枚息肉。在近端空肠系膜对侧作2 cm 长横切口,切除6
In 1996, we performed transcutonal small-bowel incision in children with Peutz-Jegher’s syndrome (PJS) for pediatric colonoscopy (Olympus, CF, 201) for the resection of small intestine polyps, as reported below. Example 1 male, 11 years old. Spontaneous discovery of the lips, buccal mucosa, finger (toe) and the palm has brown spots. 5 years old, blood in the stool, defecation polyps from prolapse, removed in the outer court. For upper gastrointestinal barium meal examination found 2 jejunum 2.0 cm × 1.5 cm polyps. Colonoscopy and excision of ascending colon 1 0.5 cm × 0.5 cm × 1.0 cm polyps. Admission Hb 51 g / L, RBC 1.64 × 10 ~ (12) / L. After blood transfusion, surgical exploration see jejunum intussusception, set into the intestine 20 cm, bowel necrosis, manual reduction. Touched multiple jejunal polyps, ileum 1 polyp. On the proximal side of the mesorectal mesangial 2 cm long transverse incision, resection 6