预先蒂部结扎辅助高频电切除术治疗消化道带蒂息肉的临床效果

Application of prophylactic peduncle ligature in the treatment of gastrointestinal tract peduncluated polyps with high-frequency electrocoagulation

  • 摘要:
      目的  探讨预先蒂部结扎辅助高频电切除术治疗消化道带蒂息肉的临床效果。
      方法  选取因消化道带蒂息肉在本院行高频电切除治疗的患者41例,所有患者切除前均采用尼龙绳或钛夹预先蒂部结扎,观察切除效果与并发症发生情况。
      结果  所有患者均一次性切除带蒂息肉,成功率为100.0%。1例术中出现创面少量渗血,予钛夹夹闭止血。所有患者未发生穿孔和迟发型出血等并发症。术后随访3~6个月,创面愈合良好,未见复发。
      结论  对体积较大的消化道带蒂息肉,切除前预先蒂部结扎是一种安全有效的方法。

     

    Abstract:
      Objective  To explore the efficiency of prophylactic peduncle ligature combined with high-frequency electrocoagulation in treatment of patients by peduncluated polyps of gastrointestinal tract.
      Methods  A total of 41 patients with peduncluated polyps of gastrointestinal tract by treatment of high-frequency electrocoagulation resection were selected, and all patients were treated with prophylactic peduncle ligature by nylon rope or titanium clip before resection. The resection efficiency and complications were observed.
      Results  All the patients underwent one-time removal of peduncluate polyps with a success rate of 100.0%. One case had small amount of bleeding in the wound and was clipped with titanium clip. No complications such as perforation and delayed hemorrhage were observed in all patients. All the patients were followed up for 3 to 6 months, and wound healed well without recurrence.
      Conclusion  For the large peduncluated polyps of gastrointestinal tract, prophylactic peduncle ligature before resection is a safe and effective method.

     

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