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金属夹钳夹联合高频电凝切除术治疗消化道息肉的疗效分析

胥宾芬 陈世耀 钟谷平 熊超亮 范惠珍

中国临床医学2012,Vol.19Issue(4):371-373,3.
中国临床医学2012,Vol.19Issue(4):371-373,3.

金属夹钳夹联合高频电凝切除术治疗消化道息肉的疗效分析

Treatment of Gastrointestinal Polyps by Metallic Clips in Combination with Endoscopy Assisted High-Frequency Electric Snare

胥宾芬 1陈世耀 2钟谷平 1熊超亮 1范惠珍1

作者信息

  • 1. 宜春学院附属医院消化科,江西宜春 336000
  • 2. 复旦大学附属中山医院消化科,上海 200032
  • 折叠

摘要

Abstract

Objective:To evaluate the clinical efficacy and safety of metallic clips in combination with endoscopy assisted high-frequency electric snare for gastrointestinal polyps. Methods: A total of 179 patients with 216 gastrointestinal polyps were enrolled. All patients were treated with metallic clips in combination with endoscopy assisted high-frequency electric snare. Complications such as bleeding and perforation were observed in the procedures. All patients were followed up endoscopically for e-valuation of efficacy and safety. Results: The gastrointestinal polyps diameter ranged from 0. 8 cm to 3. 0 cm, and the average diameter was 2. 1 cm. The overall success rate was 100%. No patients had the complication of hemorrhage during the procedures. Perforation occurred in 1 patient (0. 5%). Bleeding occurred in 5 patients (2. 7%) two weeks after polypectomy. Pathological results showed that adenoma was the most frequent type and there were coexistent malignancy in 2 cases. Six patients with residual pedicles underwent a secondary surgery. Conclusion: Using metallic clips in combination with endoscopy assisted high-frequency electric snare is effective and safe for the treatment of gastrointestinal polyps.

关键词

金属夹/消化道息肉/内镜高频电凝切除术

Key words

Metallic clips/ Gastrointestinal polyps/ Endoscopy assisted high-frequency electric snare

分类

医药卫生

引用本文复制引用

胥宾芬,陈世耀,钟谷平,熊超亮,范惠珍..金属夹钳夹联合高频电凝切除术治疗消化道息肉的疗效分析[J].中国临床医学,2012,19(4):371-373,3.

中国临床医学

OACSTPCD

1008-6358

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