论文部分内容阅读
目的评估金属钛夹在肠镜下肠道广基良性病变黏膜切除术(EMR)中的应用价值。方法分析146例采用肠镜下行EMR治疗共189个位点的结直肠广基良性病变患者的临床资料,并对所有标本进行病理学检查,观察金属钛夹在治疗中预防消化道出血及穿孔并发症的作用。结果 146例患者189位点完全切除率为100%,平均使用钛夹3.5枚;所有患者在术中及术后1周均未发生出血及穿孔等并发症。病理结果显示腺瘤性息肉31例(24.0%);混合性腺瘤35例(27.1%);绒毛状腺瘤62例(48.1%);1例(0.8%)局部有癌细胞,后改手术切除治疗;13例为肠道平滑肌瘤患者;2例为脂肪瘤;2例为囊肿。结论 EMR是治疗结直肠广基良性病变安全和有效的方法。EMR中应用金属钛夹使治疗过程更为简便、精确,且副作用少,能有效预防并发症。
Objective To evaluate the clinical value of metallic titanium clips in colonoscopic mucosal resection of bowel disease (EMR). Methods The clinical data of 146 patients with colorectal benign and malignant colorectal lesions undergoing colonoscopic descending EMR were analyzed. All the specimens were examined by pathology and the complications of metal titanium clips in the prevention of gastrointestinal bleeding and perforation were observed The role of disease. Results The complete resection rate was 100% at 189 sites in 146 patients, with an average of 3.5 titanium clips. No complications such as bleeding and perforation occurred in all patients during and after 1 week. Pathological findings showed that adenomatous polyps in 31 cases (24.0%); mixed adenoma in 35 cases (27.1%); villous adenoma in 62 cases (48.1%); Treatment; 13 cases of intestinal leiomyoma patients; 2 cases of lipoma; 2 cases of cysts. Conclusion EMR is a safe and effective method for the treatment of benign and malignant colorectal diseases. The use of metal titanium clip in EMR makes the treatment process more simple, accurate, and less side effects, which can effectively prevent complications.