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目的探讨内镜治疗大肠息肉的方法及临床疗效。方法回顾性分析经内镜治疗的814例大肠息肉患者的临床资料,根据息肉的不同大小和形态,采取恰当的治疗方法。结果 814例患者的2645枚息肉均成功切除,活检钳钳除492枚,高频电切除1085枚,氩离子凝固术460枚,内镜下黏膜切除术553枚,尼龙绳套扎联合高频电切除24枚,钛夹钳夹联合高频电切除6枚,分片切除术8枚,内镜黏膜下剥离术17枚。2352枚息肉行病理检查,腺瘤性息肉1579枚,错构瘤性息肉7枚,炎症性息肉574枚,增生性息肉191枚,息肉癌变2枚,再追加外科手术治疗。术中出血14例,无1例发生穿孔。结论选择合适的治疗方法,能在有效切除息肉的同时减少并发症的发生。
Objective To explore the method of endoscopic treatment of colorectal polyps and its clinical efficacy. Methods The clinical data of 814 patients with colorectal polyps treated by endoscopy were retrospectively analyzed. According to the different size and shape of polyps, appropriate treatment was taken. Results A total of 2645 polyps from 814 patients were successfully resected. Surgical biopsy forceps were performed in 492 patients, 1085 patients underwent high frequency electrocautery, 460 patients under argon ion coagulation, 553 underwent endoscopic mucosal resection, Excision of 24 pieces of titanium clamp combined with high frequency electrosurgical excision of 6, segmental resection 8, endoscopic submucosal dissection 17. 2352 polyp pathological examination, 1579 adenomatous polyps, 7 hamartoma polyps, 574 inflammatory polyps, 191 proliferative polyps, 2 polyps, and then additional surgical treatment. Intraoperative bleeding in 14 cases, no case of perforation occurred. Conclusion Choosing the appropriate treatment can reduce the incidence of complications while effectively removing the polyps.