摘要
目的总结结直肠脂肪瘤的内镜下诊断和治疗方法。方法回顾性分析自2012年1月至2014年4月收治的86例（91枚）结直肠脂肪瘤患者的临床病理资料、内镜特点及治疗。结果结直肠脂肪瘤临床表现无特异性，术前诊断主要依据结肠镜、超声内镜检查结果。91枚结直肠脂肪瘤中53枚行内镜下黏膜下剥离术（endoscopic submucosal dissection，ESD）。29枚行内镜下黏膜切除术（endoscopic mucosal resection，EMR），2枚行内镜黏膜分片切除术（endoscopic piecemeal mucosal resection，EPMR），5枚行电切术，2枚行息肉咬除术。结论结肠镜及超声内镜下结直肠脂肪瘤有特征性表现。结直肠脂肪瘤在内镜下行黏膜剥离或切除是安全有效的治疗方法。
Objective To summarize the experience on endoscopic diagnosis and treatment of colorectal lipomas. Methods The clinicopathological data of 91 colorectal lipomas in 86 cases were analyzed retrospectively from January 2008 to December 2012. Results Colorectal lipomas present a variety of symptoms including colorectal bleeding, abdominal pain, anemia. Preoperative diagnosis of colorectal lipomas relies on endoscopy and endoscopic ultrasonography. 53 lipomas were resected by endoscopic submucosal dissection （ ESD ） , 29 were resected by endoscopic mucosal resection （ EMR）, 2 were resected by endoscopic piecemeal mucosal resection （EPMR）, 5 were resected by electric resection and 2 were resected by biopsy clamp Conclusions Endoscopy and EUS are effective methods for diagnosing colorectal lipomas. Endoscopic resection is a safe and effective way for treating colorectal lipomas.
出处
《中华普通外科杂志》
CSCD
北大核心
2016年第4期325-327,共3页
Chinese Journal of General Surgery
基金
上海市卫生和计划生育委员会立项课题（20144Y0195）
上海市自然基金（15ZR1406800）
上海市科委产学研医合作项目（13DZ1940402）
关键词
脂肪瘤
胃肠道
内窥镜
诊断
治疗
Lipoma
Gastrointestinal tract
Endoscopes
Diagnosis
Therapy
