内镜下尼龙绳套扎治疗大肠息肉.pdfVIP

现代消化及介入诊疗 2005 年 第 10 卷 第2 期 ModernDigestionIntervention2005,Vol.10, No.2 -73 - 窑论 著窑 内镜下尼龙绳套扎治疗大肠息肉 高 翔 何远琴 崔 毅 李初俊 揖摘要铱目的 探讨内镜下尼龙绳套扎法治疗宽基底或粗蒂的大肠息肉的价值遥方法 将尼龙绳圈通 过肠镜操纵把手套扎于息肉根部遥结果 本组 3例2共 4枚大肠宽基底或粗蒂息肉均一次性套扎成功0 袁11 枚同时加高频电切除遥术后 2周复查示 30枚息肉完全脱落消失渊含已用切除者冤袁6枚部分脱落袁治愈率尧 有效率尧无效率分别为 78.9%尧15.8%尧5.3遥所有病例未见出血% 尧穿孔等并发症遥结论 尼龙绳套扎法对宽 基底或粗蒂的大肠息肉治疗效果满意袁并发症少遥 揖关键词铱内镜曰尼龙绳曰大肠息肉 Endoscopitherapwitc endolooyh fothrpcolonie polypcGAsOXiangHEYuan-qin, CUIY,ie,altD.epar原 t mentofGastroenterology,TheFirstAffiliatedHospital,SunYat-senUniversity,Guangzhou510080 揖Abstract铱 ObjectivToevaluate theffectivenese e ofendoscopitheraps witcendolooyh fothrpolypspe withthickpedideorbroadbaseinthecolon.MethodsAtotalof32subjectswith40thickpedideorbroad basepolypsreceivedtheendoscopictherapywithendoloop.ResultsTheendoscopictherapieswithendoloop werecarriedoutsuccessfullyforthe40polypswiththickpedideorbroadbaseinthe32subjects.11polyps weretreatedcombiningwithhigh-frequencyelectroblation.Ofthe32subjectsreceivingthere-examination withendoscopeafterthetherapy,30subjectswerefoundthattheirprotuberantlesionswiththickpedideor broadbasewereremovedcompletely,6subjectswerefoundthattheirprotuberantlesionswerepartlyremoved, onesubjectwasfoundthathisprotuberantlesionswasnotremoved.Ofthe38followeduppolyps,30subjects (78.9%)werecured,6(15.8%)wereimproved,onesubject(5.3%)hadnochangesand2subjectsfailedto followup.ConclusionTheendoscopictherapywithendoloopwaseffectiveinthetreatmentforthepolyps withthickpedideorbroadbaseinthecolon,whichcanbeundertakensimply,safely,andeconomically. 揖Keywords铱 Endoscopy;Endoloop;Polyp 大肠息肉是一种癌前病变袁目前国内外广泛采 均年龄 50.4岁袁均有腹泻尧便秘或血便史遥其中 1例 [1] 用的治疗方法是高频电切除术 遥但对于宽基底或 为因其他疾病正在进行抗凝治疗的患者袁其凝血酶 粗蒂息肉的治疗该项技术存在着一定的不足和出 原时间较正常对照延长 3秒遥另有 1例为肝硬化失 9 血