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目的分析总结消化道息肉临床、病理学特点及内镜下治疗方法。方法回顾性分析235例消化道息肉患者临床资料,均经内镜检查及病理学组织检查确诊,于内镜下行活检钳钳除,氩离子灼烧、高频电凝切割、套扎器套扎或黏膜下切除等多种治疗。结果上消化道息肉以胃息肉多见;经病理学检查以增生性息肉为主,占66.19%。大肠息肉以乙状结肠、直肠多见,经病理学检查主要以腺瘤性息肉为主,占48.96%,且伴不典型增生占36.46%。所有患者均在内镜下治疗成功,成功率为100.00%。结论消化道息肉治疗是预防消化道肿瘤的重要手段,内镜下治疗消化道息肉具有操作简便、微创、安全、多次重复治疗的特点,有良好的应用价值,值得推广。
Objective To analyze and summarize the clinical and pathological characteristics of gastrointestinal polyps and the endoscopic treatment. Methods Retrospective analysis of 235 cases of gastrointestinal polyps in patients with clinical data were confirmed by endoscopy and pathological examination, endoscopic biopsy forceps removal, argon ion burning, high frequency coagulation cutting, ligation ligation Or submucosal resection and other treatment. Results The upper gastrointestinal polyps were more common in gastric polyps. The majority of proliferative polyps were pathological examination, accounting for 66.19%. Colorectal polyps to sigmoid colon, rectum more common pathological examination mainly adenomatous polyps, accounting for 48.96%, with atypical hyperplasia accounted for 36.46%. All patients underwent endoscopic treatment with a success rate of 100.00%. Conclusion The treatment of digestive tract polyps is an important method to prevent digestive tract tumors. Endoscopic treatment of digestive tract polyps has the characteristics of simple operation, minimally invasive, safe and repeated treatment. It has good application value and is worth popularizing.