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目的 :探讨经内镜金属夹结扎胃肠大息肉再行高频电切除的应用价值。方法 :选择直径 >2cm的有蒂或亚蒂胃肠大息肉 2 2例作为实施对象 ,管状腺瘤 12例 ,绒毛状腺瘤 4例 ,绒毛管状腺瘤 3例 ,炎性增生性腺瘤 3例。结果 :2 2例金属夹结扎后切除全获成功 ,成功率 10 0 %,无并发症 ;使用 1枚金属夹 15例 ( 68 2 %) ,使用 2枚金属夹 5例 ( 2 2 7%) ,使用 2枚以上金属夹 2例( 9 1%) ;近期随访 12例 ,3个月内胃肠镜检查 ,创面肉芽形成或疤痕改变 ,金属夹经肠道排除。结论 :内镜金属夹结扎后电凝切除胃肠大息肉疗效确切 ,操作简便 ,能有效预防术中即时出血和术后出血。
Objective: To evaluate the value of high frequency electrosurgical excision of gastrointestinal polyps with endoscopic metal clips. Methods: Twenty two cases of pedunculated or pedunculated polyps of diatheses or peduncles with a diameter of> 2 cm were selected as the control group. Twelve tubular adenomas, four villous adenomas, three villous adenomas and three inflammatory hyperplastic adenomas . Results: Twenty two metal clips were successfully resected after ligation, with a success rate of 10%. No complications were found. One metal clip was used in 15 cases (68.2%) and two metal clips were used in 5 cases (22.7%). 2 cases (9 1%) were used more than 2 metal clips. In the recent follow-up of 12 cases, gastrointestinal endoscopy and wound granulation formation or scarring were changed within 3 months. Conclusion: The endoscopic metal clip after electrosurgical excision of gastrointestinal polyps is effective, easy to operate, can effectively prevent intraoperative bleeding and postoperative bleeding.