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頁籤選單縮合
| 題 名 | Experience of Resection of Colorectal Polyps in Children=切除孩童大腸直腸息肉的經驗 |
|---|---|
| 作 者 | 陳雨農; 許自齊; 陳明仁; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
| 卷 期 | 27:3 2016.09[民105.09] |
| 頁 次 | 頁127-131 |
| 分類號 | 417.6244 |
| 關鍵詞 | 大腸直腸息肉; 孩童; 切除; Colorectal polyps; Children; Resection; |
| 語 文 | 英文(English) |
| 中文摘要 | 目的息肉為孩童最常見的大腸直腸良性腫瘤。移除息肉可以幫助(1)緩解病人及病人家屬的焦慮;(2)避免息肉自我脫落造成的大量流血。這篇回顧性研究分析,主要是呈現過去過去三十年單一外科醫師對切除孩童大腸直腸息肉的經驗。方法從1984年1月到2014年12月,這三十年來共209位孩童執行了212次息肉切除術,手術都由同一位外科醫師執行。共計有男性129位及女性80位,平均年齡為6.32歲,年齡範圍為1到16歲。163位病人有直腸息肉,40位病人有大腸息肉,6位病人有大腸息肉症。結果3位病人因為直腸息肉復發需再次接受息肉切除,200位病人的標本病理為青年性息肉,3位病人為大腸腺瘤,6位病人為腺性或青年性息肉症。53位病人接受了大腸鏡檢查,74個息肉切除過程在全身麻醉下進行,然而,138個過程僅僅在鎮靜下進行。有2位病人在息肉切除後發生流血並且需要電燒來止血。結論在充分的準備及精細的技術下,切除孩童大腸直腸息肉是安全的。 |
| 英文摘要 | Purpose. Polyps are the most frequently seen benign tumors of the colon and rectum in children. Removal of polyps will help to (1) ease patient and/or patient family's anxiety, (2) avoid massive bleeding following autoamputation. This is a retrospective analysis of a single surgeon's experience of resection of colorectal polyps in children in a period of 30 years. Materials and Methods. A total of 212 polypectomies for 209 children were performed in 30 years by a single surgeon. There were 129 boys and 80 girls. Age ranged from one to 16 years old, with an average of 6.32 years old. One-hundred and sixty-three patients had rectal polyps, 40 patients had colonic polyps, and six patients had polyposis coli. Results. Three children had recurrent rectal polyps which necessitate second polypectomies. Two-hundred patients had juvenile polyps in the specimen, but three patients had adenomatous polyps, and six patients had adenomatous or juvenile polyposis. Fifty-three children also had colonoscopy examinations. Seventy-four procedures were performed under general anesthesia, however, 138 procedures were performed only with sedation. Two cases of bleeding occurred following polypectomies, stop bleeding by electrocoagulation were necessary. Conclusion. This experience suggests that polypectomy of colorectal polyps in children can be performed safely with appropriate preparation and meticulous technique. |
本系統中英文摘要資訊取自各篇刊載內容。