Gabrielsson N, Granqvist S, Ohlsén H, Sundelin P
Acta Radiol Diagn (Stockh). 1978;19(3):479-95. doi: 10.1177/028418517801900309.
The risk of malignant degeneration of colonic polyps has traditionally rested on various roentgenographic criteria such as broad base, irregular surface and size larger than 1 cm. With the aim of facilitating the choice of treatment of colonic polyps, an appraisal is made of the morphology of 200 polyps removed from 154 patients. The results of barium enema and double contrast techniques are compared with those obtained at colonoscopy. Radiography is found to have considerable shortcomings in evaluation of the appearance of the polyp. As the correlation of the gross morphology of the polyp of histology is weak endoscopic polypectomy should be performed whenever possible.
传统上，结肠息肉恶变的风险取决于各种X线检查标准，如基底较宽、表面不规则以及直径大于1cm等。为了便于选择结肠息肉的治疗方法，对154例患者切除的200个息肉的形态进行了评估。将钡灌肠和双重对比技术的结果与结肠镜检查的结果进行了比较。结果发现，在评估息肉外观方面，放射学检查存在相当大的缺陷。由于息肉大体形态与组织学之间的相关性较弱，应尽可能进行内镜下息肉切除术。
