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目的总结结、直肠息肉术后病理检查。方法回顾2004年1月至2008年11月结、直肠息肉238例。结果结、直肠息肉内镜下电切术237例,腹腔镜、结肠镜联合手术1例。术后病理结果:局限性癌变9例(术前内镜下活检病理无癌变)。其中直肠4例,结肠3例,回盲部1例,直肠吻合口1例;腺瘤性息肉220例;炎症性增生性息肉8例;错构瘤1例。息肉局限性癌变发生率为3.8%。结论结、直肠息肉术后全瘤病理与术前活检病理存在显著性差异。
Objective To summarize the results, postoperative pathological examination of polyps. Methods From January 2004 to November 2008, 238 cases of rectal polyps were retrospectively reviewed. Results, endoscopic polypectomy under endoscopic resection in 237 cases, laparoscopy, colonoscopy combined surgery in 1 case. Postoperative pathology results: localized cancer in 9 cases (preoperative endoscopic biopsy pathology without cancer). There were 4 cases of rectum, 3 cases of colon, 1 case of ileocecal anastomosis, 1 case of rectal anastomosis, 220 cases of adenomatous polyps, 8 cases of inflammatory hyperplastic polyps and 1 case of hamartoma. Limit polyps The incidence of cancer was 3.8%. Conclusions The pathology of nodules and histopathological examination after rectal polyps has significant difference.