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618 例小儿结肠镜检查发现大肠息肉407 例,对其中334 例( 共385 枚) 进行了息肉切除。385 枚息肉的肠段分布依次为直肠219 枚(56-88% ),乙状结肠101 枚(26-23 %) ,降结肠36 枚(9-35 %) ,其它部位29 枚(7-53 %) 。息肉的病理类型幼年性息肉为202 例(60-48% ),腺瘤性息肉90 例(26-95% ),炎症性息肉32 例(9-58 % ),增生性息肉10 例(2-99 %) 。发现色素斑息肉综合征3 例,家族性息肉病2 例。全部息肉切除病例无大出血、穿孔等并发症。提示高频电凝切除小儿大肠息肉是安全、有效的治疗方法。对103 例患儿进行了5 年跟踪随访,结果发现17 例有息肉复发,并再次行息肉切除术。
Of the 618 pediatric colonoscopy findings, 407 cases of colorectal polyps were resected and 334 of them (385 in total) underwent polypectomy. There were 219 pieces (56-88%) of rectum, 101 pieces (26-23%) of sigmoid colon, 36 pieces (9-35%) of descending colon and 29 pieces (7-53%) of other parts in 385 polyps. . The pathological types of polyps were juvenile polyps of 202 cases (60-48%), adenomatous polyps of 90 cases (26-95%), inflammatory polyps of 32 cases (9-58%), hyperplastic polyps of 10 cases (2- 99%). 3 cases of pigmented polyposis syndrome and 2 cases of familial polyposis were found. All cases of polypectomy without major bleeding, perforation and other complications. Tip high frequency electrocoagulation excision of colorectal polyps is a safe and effective treatment. A total of 103 children were followed up for 5 years. As a result, 17 patients had polyp recurrence and polyp resection was performed again.