结肠镜治疗小儿结肠息肉的临床分析-外科学(小儿外科)专业论文.docxVIP

汕头大学医学院硕士学位论文 汕头大学医学院硕士学位论文 汕头大学医学院硕士学位论文 汕头大学医学院硕士学位论文 III III IV IV Abstract Objective To summarize the clinical feature of colonic polyp in children, and evaluate the safety and effectiveness of the endoscopic treatment by analyzing the clinical data which included the gender and age of the children, the characteristic of colonic polyp,such as size,location,shape and pathologieal type,the successful removal and incidence of complications duiring the endoscopic treatment. Methods The children with colonic polyps were retrospectively analyzed, which accepted endoscopic resection in the second affiliated hospital of Shantou University Medical College during January 2008 and April 2013.The cases must meet the following criteria:① The patient have a single or multiple colorectal polyps; ②by endoscopic resection；③age: no more than 18 years of age. 128 patients were included in our study, and 145 polyps were found finally. 82 cases were male, 46 female, age were between 2 and 14 years, with the average of (6.17+1.81)years, the ratio of male to female was 1.78:1.The predilection age was between 2 and 6 years old. All patients had various degrees of abdominal pain, diarrhea, bloody stool and other symptoms. Some patients had prolapse of the polyp. All the cases were divided into three groups according to the sizeof polyp, small polyp (diameter1.0cm),large one(1.0cm-2.0cm) and huge group (diameter2.0cm). Resection of the polyp was individualized according to the size, shape and pedicle. Results Compared with the three groups no statistical significance was found as to the gender and age of the patient (P0.05). However, and there were significant differences in the location, shape, pathological type (P0.05).The small polyps often had broad base, the huge polyps mainly were pedunculated. The polyps were most common in the lumen of left semicolon, and the most common pathological type was juvenile one. The successful removal rate for the small, large and huge groups were 100%