基于内镜下治疗108例大肠息肉临床效果分析.docVIP

基于内镜下治疗108例大肠息肉临床效果分析 　　[摘要] 目的 探讨内镜下治疗大肠息肉的临床效果。方法 方便选择该院2016年4月―2017年4月接收的大肠息肉患者108例，均给予内镜下治疗，观察临床治疗效果。 结果 108例大肠息肉患者中，一次性成功切除107例，切除率99.1%。术中经观察，42例患者息肉直径在0.5 mm以内，息肉一次性切除成功率100.0%；40例患者息肉直径0.5～2.0 cm，息肉一次性切除成功率100.0%；26例患者息肉直径2.0～2.5 cm，息肉一次性成功切除率96.2%。术后，出现穿孔1例，腹膜炎1例，发生率1.9%，经禁食、胃肠减压、奥曲肽、抗感染治疗后均痊愈。结论 大肠息肉行内镜下手术切除治疗时，具有良好的治疗效果，且并发症少，可促使患者尽早痊愈。 　　[关键词] 内镜；大肠息肉；临床疗效 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）10（c）-0047-03 　　Clinical Observation of Endoscopic Treatment of 108 Cases of Colorectal Polyps 　　CHEN Hui-jie 　　Department of Gastroenterology， Zhangzhou Third Hospital， Zhangzhou， Fujian Province， 363000 China 　　[Abstract] Objective This paper tries to discuss the clinical effect of endoscopic treatment of colorectal polyps. Methods 108 cases of polyps patients received from April 2016 to April 2017 were conveniently selected for endoscopic treatment and then the clinical effect was observed. Results Among the 108 cases of polyps， 107 cases of polyps were successfully removed for the first time， and the cut rate was 99.1%. According to the intraoperative observation， 42 patients had polyp diameter within 0.5 mm， and the success rate of cutting was 100.0%. 40 patients had polyp diameter of between 0.5 and 2.0 cm and the success rate of cutting was 100.0%. 26 patients had polyp diameter of between 2.0 to 2.5 cm and 96.2% of which were successfully removed. After surgery， 1 case of perforation， 1 case of peritonitis， and the incidence was 1.9%， and were recovered after fasting， gastrointestinal decompression， octreotide， and anti-infection treatment. Conclusion The operation of endoscopic surgery has good therapeutic effect and few complications for colorectal polyps， which can help the patient to recover quickly. 　　[Key words] Endoscopy； Colorectal polyps； Clinical curative effect 　　近年来，内镜技术水平不断提高，而且其在临床中的应用也越来越广泛，尤其是消化道疾病的治疗中。大肠息肉是临床上比较常见的消化道疾病，具有比较高的发病率，而且随着人们饮食习惯的改变，逐渐的提升了其发病率，发病后，腹胀、腹泻、便秘等为主要症状表现，并不典型，增加了诊断的难度。大肠息肉存在较高的癌变可能，因此，临床要尽早确诊、尽早治疗，预防癌变，