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[内镜下息肉切除术在大肠弥漫性息肉病外科治疗中的应用]

[Endoscopic polypectomy in the surgical treatment of diffuse polyposis of the large intestine].

作者信息

Nikitin A M, Strekalovskiĭ V P, Baranov O N, Iakushkin A V, Dem'ianov V D

出版信息

Khirurgiia (Mosk). 1991 Apr(4):57-61.

PMID:2062071
Abstract

The article analyses experience in the treatment of 81 patients with diffuse polyposis who underwent subtotal resection of the colon with abdominoanal resection of the rectum and downward displacement of the right parts into the anal canal. It is shown that growth of the remaining occasional polyps and appearance of new polyps are encountered in the maintained parts of the colon and upper parts of the gastrointestinal tract in the postoperative period. The authors found that endoscopic polypectomy allows the right colon to be preserved in 92.6% of cases and the upper digestive tract in 97.5% of cases at a minimum risk of a surgical intervention.

摘要

本文分析了81例弥漫性息肉病患者的治疗经验,这些患者接受了结肠次全切除、直肠腹会阴切除以及右半结肠向下移位至肛管的手术。结果表明,术后在保留的结肠部分和胃肠道上部会出现残留的散在息肉生长以及新息肉的出现。作者发现,内镜下息肉切除术能在手术干预风险最小的情况下,使92.6%的病例保留右半结肠,97.5%的病例保留上消化道。

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