Clinical analysis of colonoscope in diagnosis and treatment of colonic polyps (175 cases)
10.3969/j.issn.1007-1989.2017.02.011
- VernacularTitle:175例结肠镜诊断和治疗结肠息肉的临床分析
- Author:
Shaofeng ZHANG
;
Zhiwei XIANG
- Keywords:
chromoendoscopy;
colorectal benign polyps;
argon plasma coagulation;
high frequency electric knife electric coagulation;
endoscopic mucosal resection
- From:
China Journal of Endoscopy
2017;23(2):42-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the characteristic and distribution of colonic polyps and investigate the diagnosis of colorectal benign polyps for chromoendoscopy and curative effect of argon plasma coagulation, High frequency electric knife electric coagulation, EMR, Titanium clips treating Colorectal benign polyps.Methods 175 patients of benign colorectal polyps of endoscopic diagnosis combined with pathology and treated were collected from December 2015 to June 2016.Results by ordinary and staining endoscopy, solitary polyp quantity and multiple polyps types in many segments for colon were more. Which the polyps quantity of rectum and sigmoid colon were more and polyp diameter was smaller in the left colon, the polyps quantity of ascending colon were less and polyp diameter was larger in the right colon. Pigment endoscopy was conduce to diagnose the micro-polyp. Chromoscopy enhanced the detection of multiple polyps in the colon.Conclusions Staining endoscopy is improved the multiple polyps detection rate and reduce omission diagnose rate, to proift the differential diagnosis of benign polyps, according to the solitary polyp and multiple polyps combined with polyp size in colon, which select the one of APC, high-frequency electric coagulation electric cut and EMR or two kinds of therapeutic endoscopy, therapeutic endoscopy is efifcacy and safety technique and the most of APC.
