Lee M G, Hanchard B
Department of Medicine, U.W.I., Jamaica.
West Indian Med J. 1991 Jun;40(2):81-5.
Colonoscopic polypectomy is an important therapeutic advance as it enables most colonic polyps to be removed entirely and studied pathologically and has virtually replaced surgical treatment. The clinical and pathological features of patients with colonic polyps treated by colonoscopic polypectomy over a five-year period are reported. Seventy-four patients (37 men, 37 women) with a mean age of 57 years had 109 polyps removed by snare polypectomy. Rectal bleeding was the predominant symptom and was present in 63.5%. Lower abdominal pain was present in 12%. The majority of polyps were located in the sigmoid (38.5%) and descending (40.3%) colon. Ninety-five polyps were pedunculated and 14 were sessile. Of the neoplastic polyps, 61.6% were pure tubular adenomas, 25.2% were mixed tubulo-villous adenomas and 1% were pure villous adenomas. There were no complications arising from colonoscopy or snare polypectomy. Colonoscopic polypectomy is a safe, reliable and cost-effective therapeutic procedure that has revolutionized the management of pre-cancerous neoplastic colonic polyps.
结肠镜息肉切除术是一项重要的治疗进展，因为它能将大多数结肠息肉完全切除并进行病理研究，实际上已取代了手术治疗。本文报告了在五年期间接受结肠镜息肉切除术治疗的结肠息肉患者的临床和病理特征。74例患者（37例男性，37例女性），平均年龄57岁，通过圈套息肉切除术切除了109枚息肉。直肠出血是主要症状，占63.5%。下腹部疼痛占12%。大多数息肉位于乙状结肠（38.5%）和降结肠（40.3%）。95枚息肉有蒂，14枚无蒂。在肿瘤性息肉中，61.6%为单纯管状腺瘤，25.2%为混合性管状绒毛状腺瘤，1%为单纯绒毛状腺瘤。结肠镜检查或圈套息肉切除术未出现并发症。结肠镜息肉切除术是一种安全、可靠且具有成本效益的治疗方法，它彻底改变了癌前肿瘤性结肠息肉的治疗方式。
