目的：观察分析内镜下结肠息肉切除术的临床疗效及安全性。方法选取460例结肠息肉患者行内镜下结肠息肉切除术,其中265例患者行高频电凝灼除,195例患者行圈套切除。结果术中、术后均未发生肠穿孔、灼伤、大出血等并发症,切除率100%。对763枚息肉标本行病理检查结果：增生性息肉206枚,占27%；管状腺瘤213枚,占27.92%；炎性息肉153枚,占20.05%；绒毛状腺瘤77枚,占10.09%；混合性腺瘤114枚,占41.94%。腺瘤性息肉共计404枚,占52.95%。结论内镜结肠息肉切除术疗效好、安全可靠、并发症少,可作为临床治疗结肠息肉的首选方法。%Objective To analyze the clinical effects and safety of colon polyps by endoscopic resection. Methods 460 cases of colon polyps were chosen to treat by endoscopic resection. 265 cases were treated by high frequency electric coagulation electrocision. 195 cases were treated by endoscopic trepanned resection. Results Complication such as enterobrosis, ambustion, hemorrhoea didn't happen during the surgery and after the surgery. The resection rate was 100%. 763 pieces of polyp specimens were detected by pathological examination: hyperplastic polyp 206 pieces, 27%; tubular adenoma 213 pieces, 27.92%;inflammatory polyp 153 pieces, 20.05%;vil ous adenoma 77 pieces, 10.09%; mixed adenoma 114 pieces, 41.92%. There were 404 pieces of adenomatous polyp, 50.95%. Conclusion Endoscopic resection is an ef ective, safety treatment with lit le complication. It should be the first methods for colon polyps.
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