摘要 目的：探讨大肠类癌在结肠镜下的诊断和治疗。方法：回顾分析2000年9月至2005年9月长海医院肛肠外科肠镜室共36例大肠类癌的临床资料。病理确诊36例，内镜下用PSD圈套器圈除16例，热活检钳钳除3例，EMR切除8例，手术局部切除7例，直肠根治术1例，右半结肠切除1例。结果：随访1~5年存活率100%。结论：结肠镜检查是发现和诊断大肠类癌的首选方法，确诊有赖于病理诊断。内镜下治疗切实有效，EMR是治疗大肠类癌安全可靠的方法(无肌层浸润及淋巴结转移者)。

    关键词 结肠镜；大肠类癌；肿物切除

    Colonoscopic Diagnosis and treatment of Colorectal Carcinoid (Analysis of 36cases)

    Hu Wei, Yu Enda, Fu Chuangang, et al.

    Department of Colorectal Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China

    Abstract Objective:To study the diagnosis and treatment of colorectal carcinoid with colonoscopy. Methods:The clinical data of 36 patients with colorectal carcinoid were analyzed retrospectively from Sep. 2000 to Sep. 2005. Sixteen carcinoids were extirpated by snare polypectomy under colonoscopy, and 8 carcinoids were removed by endoscopic mucosal resection (EMR).Results:The 1~5 years survival rate was 100%.Conclusion:Colonscopy is the best choice to diagnose carcinoid in digestive tract. EMR is an effective and safe method for colorectal carcinoid without submucosa infiltration and regional lymphatic metastasis. ......