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[门诊条件下内镜下胃息肉切除术]

[Endoscopic removal of gastric polyps in ambulatory conditions].

作者信息

Sotnikov V N

出版信息

Vopr Onkol. 1989;35(12):1472-5.

PMID:2609544
Abstract

The study included 325 patients (age 16-89 years; 84 males and 241 females) who had undergone surgery for stomach polyps under outpatient hospital conditions. On the whole, 752 polyps were removed: 623 sat on a wide base and 129--on a pedicle. Polyps were removed if bases were under 2.5 cm in diameter and there were no concomitant grave pathologies or blood coagulation disorders. During eight years of follow-up, recurrences were identified in 18, and polyps residing in other parts of the stomach--in 114 patients. Complications which were not dangerous or required surgery occurred in 52 cases. Among the most frequent complications was bleeding which either ceased or was arrested by endoscopic hemostatics. No lethality was recorded. It is concluded that gastric polypectomy in most patients may be performed in outpatient hospitals. If carried out by experienced staff, the procedure will not involve grave complications.

摘要

该研究纳入了325例患者(年龄16 - 89岁;男性84例,女性241例),这些患者均在门诊条件下接受了胃息肉手术。总体而言,共切除752枚息肉:623枚息肉基底较宽,129枚有蒂。若息肉基底直径小于2.5 cm且无并发严重病变或凝血障碍,则切除息肉。在八年的随访期间,发现18例复发,114例患者胃部其他部位出现息肉。52例发生了无危险或无需手术的并发症。最常见的并发症是出血,出血通过内镜止血法自行停止或得到控制。未记录到死亡病例。研究得出结论,大多数患者的胃息肉切除术可在门诊医院进行。若由经验丰富的工作人员实施该手术,该操作不会引发严重并发症。

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