Van Wymersch T, Warzée P, Coppens J P, Maskens A P, Liénard J C, Vanheuverzwyn R
Acta Gastroenterol Belg. 1988 Jul-Oct;51(4-5):403-6.
Many methods are used to treat villous adenomas of the rectum. The best choice between these methods is not well established. Ninety-six patients (47 men, 49 women) treated with endoscopic monopolar coagulation were studied. The mean age was 66 years (range 37-84). The lesions were located in the lower third of the rectum in 27 cases, in the middle third in 35 cases and in the upper third in 34 cases. The circumferential extent of the lesions was less than 1/3 in 70 cases (C1), greater than 1/3-less than 2/3 in 23 (C2) and greater than 2/3 in 3 cases (C3). The follow-up of 2 patients (1 C1 and 1 C2) was not sufficient. Healing was not achieved in 8 of the 94 evaluated patients. Eighty-six patients were totally healed: 68 C1, 16 C2 and 2 C3 with a follow-up of 2 to 132 months (median: 36 months). The treatment was achieved after a mean of 2.1 sessions per patient (range 1-13).
治疗直肠绒毛状腺瘤有多种方法。这些方法之间的最佳选择尚未明确。对96例接受内镜单极电凝治疗的患者（47例男性，49例女性）进行了研究。平均年龄为66岁（范围37 - 84岁）。病变位于直肠下三分之一处27例，中三分之一处35例，上三分之一处34例。病变的周径范围小于1/3者70例（C1），大于1/3小于2/3者23例（C2），大于2/3者3例（C3）。2例患者（1例C1和1例C2）的随访不充分。94例接受评估的患者中8例未愈合。86例患者完全愈合：68例C1，16例C2和2例C3，随访时间为2至132个月（中位数：36个月）。每位患者平均治疗2.1次（范围1 - 13次）。
1）直肠绒毛状腺瘤的内镜单极电凝是一种简单有效的治疗方法。2）对于广泛病变（C3），该方法是手术的补充。
