摘要
目的：回顾总结20例结直肠脂肪瘤的诊断与治疗的经验。方法：分析自1993年—2007年治疗的20例结直肠脂肪瘤患者的临床资料。结果：结直肠脂肪瘤的临床表现无特异性,可并发肠套叠或肠梗阻,超声内镜的诊断准确率为93.8%。本组病例中9例行内镜下脂肪瘤切除术,11例行开腹手术（局部切除术或肠部分切除、吻合术）,17例（85.0%）随访1~168个月,均无复发或转移。结论：超声内镜是诊断胃肠道脂肪瘤的有效方法,开腹手术切除或内镜下手术切除脂肪瘤是有效的治疗手段,内镜下手术是结直肠脂肪瘤微创治疗的发展方向。
Objective：To summarize the experience of diagnosis and treatment of colorectal lipomas.Methods：The clinical data of 20 patients with Colorectal lipomas were analyzed retrospectively from 1993 to 2007.Results： Colorectal lipomas can produce a variety of symptoms including Colorectal bleeding,abdominal pain,anemia,intussusception,and bowel obstruction.The diagnostic accuracy of endoscopic ultrasonography（EUS） for Colorectal lipomas was 90.0%.Nine GI lipomas were resected by Endoscopyic Mucosa Resection（EMR） and Endoscopyic Submucosa Dissection in the study,the reminder at laparotomy,partial resection,or enterectomy being performed.17 cases were followed up from 1 month to 168 months,no recurrence and metastasis were observed.Conclusions：EUS is an effective method for diagnosing Colorectal lipomas.The surgical treatment of Colorectal lipomas is accepted,however,endoscopic removal of Colorectal lipomas is also a safe way.
出处
《中国临床医学》
2010年第6期835-836,共2页
Chinese Journal of Clinical Medicine
关键词
结直肠脂肪瘤
超声内镜
内镜下切除
Colorectal lipomas
Ultrasonography
Endoscopic removal
