中华临床医师杂志(电子版) 2017年2月,11卷4期

综 述

结直肠息肉的内镜治疗进展

刘伟强 高广荣 李达 张成

110000 沈阳军区总医院普通外科
张成,Email: 1126663927@qq.com

摘要:内镜下息肉切除术是结直肠镜检查过程中常规的结肠息肉切除方法,在我国已普遍应用。目前,内镜医生可以通过一些简单的操作将病变或息肉予以切除,如利用钳夹活检术或圈套切除术将小息肉予以切除,利用内镜黏膜下切除术、内镜黏膜下剥离术将较大息肉或早期结直肠癌予以切除,进而减少不必要的手术治疗。息肉的内镜下切除在降低结直肠癌的发病率和死亡率中发挥着重要作用,并且将是未来癌症预防的主要措施。本文对近几年来息肉的主要内镜治疗技术进行综述。

关键词: 肠息肉; 钳夹活检术; 息肉圈套切除术; 内镜下黏膜切除术; 内镜黏膜下剥离术

Development in endoscopic treatment of colorectal polyps

Liu Weiqiang, Gao Guangrong, Li Da, Zhang Cheng

Department of General Surgery, the General Hospital of Shenyang Military Region, Shenyang 110000, China
Zhang Cheng, Email: 1126663927@qq.com

Abstract:Endoscopic polypectomy is a routine colonic polypectomy procedure during colorectaloscopy, has been widely used in our country. At present, the doctor can be endoscopic resection of the lesion or polyps through some simple operations, such as the use of forceps biopsy or snare excision for resection of small polyps or endoscopic mucosal resection and endoscopic submucosal dissection for larger polyps or early colorectal cancer resection, then reduce the unnecessary surgery. Endoscopic resection of polyps plays an important role in reducing the incidence and mortality of colorectal cancer, and will be the main measure for future cancer prevention. In this paper, the main endoscopic treatment of polyps in recent years were reviewed.

Keywords: Intestinal polyps; Forcep biopsy polypectomy; Snare polypectomy; EMR; ESD

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(编辑:马超 收稿日期:2016-10-12)