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临床资料 20例中男13例,女7例,年龄最大74岁,最小27岁。息肉分布在胃窦6例,胃底、食管、十二指肠球部各1例,结肠11例。息肉在0.6cm～2cm之间。病理诊断,腺瘤样息肉15例,增生性3例,炎性息肉2例。其中1例1枚为腺瘤样息肉,1枚已癌变。 治疗方法 术前准备与普通内镜检查相同。患者取左侧卧位以息肉暴露最佳为好。确定诊断后,将微波治疗天线从内镜活检孔插入,用微波棒状电板对准息肉,启动脚闸进行点灼。微波辐射功率为60mA×8～16s。对1个病灶进行多次点灼,直至息肉气化,蛋白凝固,达到摘除息肉的目的。
Clinical data 20 males in 13 cases, 7 females, the oldest 74 years old, the youngest 27 years old. Polyps were distributed in 6 cases of antrum, gastric fundus, esophagus, duodenal bulb in 1 case, colon in 11 cases. Polyps between 0.6cm ~ 2cm. Pathological diagnosis, adenomatous polyps in 15 cases, hyperplastic in 3 cases, inflammatory polyps in 2 cases. One case of 1 adenoma-like polyps, one has been cancerous. Treatment Preoperative preparation and general endoscopic examination the same. Patients take the left lateral position to polyp exposed the best as well. After the diagnosis is confirmed, the microwave therapeutic antenna is inserted from the endoscopic biopsy hole, the polyps are aligned with the microwave rod-shaped electric plate, and the peduncle is started for point burning. Microwave radiation power of 60mA × 8 ~ 16s. Multiple lesions on a lesion until polyp gasification, protein coagulation, polyp removal to achieve the purpose.