湖南省儿童医院 消化营养科，湖南 长沙 410007
Department of Digestive Nutrition, Hunan Children’s Hospital, Changsha, Hunan 410007, China
目的 该文旨在探讨内镜下分段切除儿童巨大肠息肉的临床疗效及安全性。方法 回顾性分析该院消化内科和普外科收治的66例巨大肠息肉患儿，43例采取内镜下分段切除治疗，23例行外科手术。观察两组患儿禁食时间、住院时间及不良反应发生情况。结果 两组患儿均成功进行息肉切除术，内镜治疗组在禁食时间、住院时间及住院费用上均优于外科手术组（P < 0.05），两组患儿不良反应发生情况无明显差异。结论 内镜下分段切除儿童巨大肠息肉疗效满意，操作安全、创伤小，值得临床推广。
Objective To investigate the efficacy and safety of endoscopic sectionally resection in Children tremendous intestinal polyps.Methods 66 cases of pediatric tremendous intestinal polyps patients’ clinical data was analyzed retrospectively, 43 cases taken endoscopic sectionally resection, the others surgery. The success rate of polyp removal and postoperative fasting time, hospitalization and adverse circumstances occurred in the two groups were compared.Results Two groups children were successfully conducted polypectomy, but endoscopic treatment group in the fasting time, the length of hospital stay and costs was better than that in the surgical group (P < 0.05), and no significant difference in the occurrence of adverse reactions.Conclusions The efficacy of endoscopic sectionally resection in children tremendous intestinal polyps was satisfactory, and it was safe, minimally invasive, worthy of promotion.