食管息肉必须要切除吗 郑光华 山西省肿瘤医院 скачать в хорошем качестве

食管息肉必须要切除吗 郑光华 山西省肿瘤医院

食管息肉必须要切除吗 郑光华 山西省肿瘤医院 食管息肉可能发生溃疡、出血，堵塞食管腔或发生恶变，堵塞呼吸道可能导致呼吸困难或窒息造成脑缺氧，食管息肉没有药物以及其他的内科治疗办法，所以确认了食管息肉的病人，如果没有手术禁忌，均建议行手术切除。较小的食管息肉，可经食管镜在直视下用圈套器切除，息肉的蒂部用电凝止血或经食管镜电烧灼息肉蒂部后再将息肉完整切除。较大的息肉不宜用内镜切除，则需行颈部切口，剖开颈段食管腔摘除息肉，经颈部切口可以一次性切除食管息肉及其蒂部，如果发生在食管上段或者中段的息肉，不适宜行内镜下切除的，可根据息肉的具体部位行胸部缺口，显露有息肉的食管，切开血管腔从息肉的蒂部，完整切除息肉，蒂部采取结扎法，或者缝扎妥善止血，之后再缝合食管壁的切口。 Does esophageal polyp have to be removed Esophageal polyps may have ulcers and bleeding, The esophageal cavity is blocked or malignant change occurs, Blockage of the respiratory tract may cause dyspnea or asphyxia, resulting in brain hypoxia, There is no medicine or other medical treatment for esophageal polyps, So we identified patients with esophageal polyps, If there is no surgical contraindication, Surgical resection is recommended. Smaller esophageal polyps, It can be removed with a snare under direct vision through esophagoscope, The pedicle of the polyp was hemostasis by electrocoagulation or cauterization by esophagoscopy. Large polyps should not be removed by endoscopy, A neck incision is needed, Open the cervical esophageal cavity and remove the polyp, The esophageal polyp and its pedicle can be excised once through the neck incision, If the polyp occurs in the upper or middle part of the esophagus, If it is not suitable for endoscopic resection, According to the specific position of polyp, chest notch can be made, A polyped esophagus is exposed, Open the lumen of the vessel from the base of the polyp, Complete polypectomy, The pedicle was ligated, Or sew properly to stop bleeding, Then the incision of esophageal wall was sutured.