摘要
目的 评价内镜下钛夹、尼龙圈套辅助高频电切术治疗胃肠道巨大息肉的效果及安全性.方法 对50例患者共85处消化道巨大有蒂息肉样病变分别采用钛夹、尼龙圈套辅助高频电凝切除术的治疗方法进行回顾性分析.结果 85枚巨大息肉中,上消化道15枚,结肠66枚,直肠4枚.其中62枚息肉采用尼龙圈套＋高频电凝切除术治疗,23枚息肉采用高频电凝切除术＋肽夹钳夹术治疗,术中无一例发生出血;术后迟发性出血2例（2.4%）,急诊内镜下钛夹止血成功,无其它并发症发生.结论 消化道息肉高频电切术后最常见且最棘手的并发症是出血,巨大息肉发生在术中或术后迟发性出血的机率更大,采用尼龙圈套及金属肽夹辅助高频电凝切除术,能有效预防粗蒂大息肉样病变切除术中和术后出血,是消化道巨大息肉内镜下治疗安全有效的联合治疗技术.
Objective Aims To evaluate the effect and security of high-frequency electrocogulation combined with endoclipping or endoloop under endoscopy in treatment of large pedunculated polyps in gastrointestinal tract. Methods 85 large pedunctdated polyps in gastrointestinal tract of 50 patients were treated by high-frequency electrocogulation combined with endoclipping or endoloop. These cases were retrospectively analyzed. Results In the 85 large pedunculated polyps, 15 polyps were located in upper gastrointestinal tract ,66 in colon, and 4 in rectum. Of them ,62 polyps were cured by high-frequency electrocogulation combined with endoloop,23 were treated with high-frequency electrocogulation allied with endoclipping. In all the treatment, no intraprocedural bleeding occurred ;2 cases came up with delayed bleeding（2.4% ） ,and were also cured by endoclipping under emergency therapeutic endoscopy. No other complications occurred. Conclusions The most frequent and intractable complication for treatment of polyps in gastrointestinal tract by high-frequency electrocogulation is bleeding, and the incidence rate of bleeding during or after the electrocogulation of large pedunculated polyps is higher compared with ordinary polyps. High-frequency electrocogulation combined with endoclipping or endoloop can effectively prevent bleeding during or after the resection of large pedunculated polyps, which is a safe and effective allied treatment technique for giant polyps in gastrointestinal tract.
出处
《临床内科杂志》
CAS
2010年第6期385-387,共3页
Journal of Clinical Internal Medicine
关键词
消化道息肉
高频电切术
钛夹
尼龙圈套器
Polyps in gastrointestinal tract
High-frequency electrocogulation
Endoclipping
Endoloop
