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本文应用Olympus CF-LB_3R等纤维结肠镜查出直、结肠息肉154个,其中125个进行了电凝切除。主要症状中,便血占46.03％、腹痛占23.8％、腹泻占33.3％。病理结果:炎性息肉59个、增生性息肉4个、腺癌性息肉47个、息肉恶变2个、克隆氏病1个。本组共切除125个,回收115个,回收率90.2％,认为用篮型抓持钳是回收息肉的最好方法。8例有术后出血,用10％孟氏液、口服Vit K后血止。此外,本文认为甘露醇口服导泻,只要术中充分换气,并非电切息肉之禁忌症。
In this study, 154 straight and colonic polyps were detected with a colonoscope such as Olympus CF-LB_3R, of which 125 were subjected to electrocoagulation. Among the main symptoms, 46.03% were in blood in the stool, 23.8% in abdominal pain, and 33.3% in diarrhea. Pathological results: 59 inflammatory polyps, 4 hyperplastic polyps, 47 adenocarcinoma polyps, 2 malignant polyps, 1 Crohn’s disease. In this group, a total of 125 were removed and 115 were recovered. The recovery rate was 90.2%. It is considered that the basket-type grasping forceps is the best method for recovering polyps. Eight patients had postoperative bleeding, which was stopped with 10% monocytes and oral Vit K. In addition, this article believes that mannitol oral catharsis, as long as the intraoperative full ventilation, is not a contraindication to the electrocution of polyps.