Klinke F, Meier zu Eissen J, Meier zu Eissen P
Dtsch Med Wochenschr. 1978 Apr 28;103(17):739-41. doi: 10.1055/s-0028-1104795.
Routine rectosigmoidoscopy was undertaken in 700 patients under surgical treatment for disease in other parts of the body. Pathological changes were found in 39 patients (5.6%): 24 with adenomatous polyps, 5 with adenopapillary polyps, 7 with infiltrating growing "carcinomatous" polyps without involvement of the muscularis mucosae, and three with carcinoma. The polyps were removed with an electric loop or haemoclip in 28, by transanal submucous excision in eight. One of the carcinoma cases was treated by resection, the other two by abdominoperineal rectal resection. The results indicate that routine rectosigmoidoscopy is of value.
对700例因身体其他部位疾病接受手术治疗的患者进行了常规直肠乙状结肠镜检查。在39例患者(5.6%)中发现了病理变化:24例为腺瘤性息肉,5例为腺乳头状息肉,7例为浸润性生长的“癌性”息肉但未累及黏膜肌层,3例为癌。28例息肉通过电圈套器或止血夹切除,8例通过经肛门黏膜下切除术切除。1例癌患者接受了切除术治疗,另外2例接受了腹会阴直肠癌切除术。结果表明常规直肠乙状结肠镜检查是有价值的。