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目的:总结114例结肠息肉三种不同的处理方法。方法:对直径≤0.5cm的小息肉用活检钳摘除。对直径≥0.6cm~3cm的细蒂及亚蒂息肉,用圈套器高频电凝切除。对体积较大的基底宽的息肉,即使病理活检为良性仍建议手术切除。结果:114例病理活检112例为良性息肉,1例为原位癌,1例为绒毛状腺瘤癌变。结论:所有结肠息肉一经发现均应整体切除(包括钳摘、圈套器电凝切除及手术治疗)。
Objective: To summarize three different treatment methods for 114 cases of colon polyps. Methods: The small polyps with diameter ≤ 0.5cm were removed by biopsy forceps. For small pedicles with a diameter of ≥0.6 cm to 3 cm and Adi polyps, high-frequency electrocoagulation was performed with a snare. For larger polyps of the base size, surgical resection is recommended even if the biopsy is benign. RESULTS: One hundred and twelve cases of pathological biopsy were benign polyps, 1 case of carcinoma in situ, and 1 case of villous adenoma. Conclusion: All colon polyps should be removed as a whole (including forceps clamp, electrocoagulation with snare and surgical treatment).