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[目的]为老年人结肠巨大息肉患者寻求一种安全、有效的内镜治疗方法。[方法]采用内镜下尼龙线结扎联合高频电切术治疗老年结肠巨大息肉患者21例。[结果]21例患者尼龙线结扎联合高频电切术均一次成功,未发生大出血、穿孔等严重并发症。[结论]尼龙线结扎联合高频电切术起到双重保险,提高了肠镜下巨大息肉治疗的成功率,同时降低了肠道大出血、穿孔的危险性,对老年患者安全、有效。
[Objective] To seek a safe and effective endoscopic treatment for giant polyps in the elderly. [Method] Twenty - one patients with giant polyps of the elderly were treated with endoscopic nylon ligation and high frequency electrotomy. [Results] Nylon ligation combined with high frequency electrotomy was successful in all 21 patients. No major bleeding, perforation and other serious complications occurred. [Conclusion] Nylon ligation combined with high frequency electrotomy has double insurance, which improves the success rate of giant polyps under colonoscopy, reduces the risk of intestinal hemorrhage and perforation, and is safe and effective for elderly patients.