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大肠息肉—藏在肚子里的“定时炸弹”，必须格杀勿论！
2020-09-25 11:46:25
<p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">肠息肉是局部肠粘膜增生肥厚而形成的粘膜隆起样病变，说白了在大肠粘膜表面长出来的“小瘊子”。发生原因不甚明了，多出现在中年以后，50--岁以后的人群大约有25~80%的发生率。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">尽管它是一种良性疾病，但已被公认为是一种重要的癌前病变。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">国内外大量研究表明，约80%~95%的结直肠癌是由结直肠息肉演变而来，一般经历这个过程：</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">正常粘膜➨增生➨腺瘤形成➨腺瘤癌变➨原位癌➨浸润、转移</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><img src="../../upload/news/20200925/95d7388f0368d4bac7efcf548cebcd4d.png"><p style="margin-bottom: 0px; margin-left: 10px; padding-left: 16px; clear: both; text-align: justify; max-width: 100%; box-sizing: border-box; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.621714px; background-color: rgb(255, 255, 255); font-size: 12px; line-height: 16px; color: rgb(153, 153, 153); overflow-wrap: break-word !important;">理论上，只要有足够的时间，腺瘤性息肉100%会发生癌变</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">结肠息肉约30年演变为癌前病变，5-10年演变为癌症，后浸润、转移。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">这个过程是迟滞和漫长的，我们有足够的时间发现并及时切除掉，以绝后患。</p><img src="../../upload/news/20200925/4f8e7b586da65a770d022326ddff2c16.png"><p style="margin-bottom: 0px; margin-left: 10px; padding-left: 16px; clear: both; text-align: justify; max-width: 100%; box-sizing: border-box; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.621714px; background-color: rgb(255, 255, 255); font-size: 12px; line-height: 16px; color: rgb(153, 153, 153); overflow-wrap: break-word !important;">肠镜下息肉的表现</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">结肠息肉在大多数情况下大多数没有明显的临床症状，大多都是在常规的结肠镜检查、直肠指诊或手术中发现的。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">所以，肠息肉，尤其是腺瘤性息肉，就是体内的定时炸弹，理论上，只要有足够的时间，它100%会癌变，如不及时发现并切除，早晚会酿成大祸。</p><h1 style="margin-top: 36px; margin-bottom: 22px; font-size: 24px; max-width: 100%; box-sizing: border-box; letter-spacing: 0.621714px; line-height: 32px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">一、常见症状（绝大多数没有症状）</h1><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">90%以上的肠息肉不会产生任何症状，往往在长大、癌变后才会出现，所以医生们称之为“隐匿的杀手”。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">①便血。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">患结直肠、乙状结肠息肉可能会出现便血，通常是出现间断性的小量出血，血附于大便表面，很少引起贫血；严重时，出血量也可多达100~200ml。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">②排便习惯改变。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">如果肠息肉位于结肠远端，并且体积较大的话，很容易引起便秘；有些病人也会出现腹泻、便秘交替出现的状况。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">③腹痛。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">部分病人会出现弥漫性的腹痛，尤其是在大便时或者大便后加重。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">④带蒂息肉脱出肛门。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">⑤肠道外症状。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">如果出现一些典型的肠道外症状，提示患者可能有息肉病。比如出现多发性骨瘤和软组织肿瘤，就应考虑是否患了Gardner综合征，出现皮肤黏膜色素斑应考虑是否患了Peutz-Jeghers(简称P-J)综合征。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><img src="../../upload/news/20200925/5ebf6a305bc89ed5e062e8897d70df0d.png"><p style="margin-bottom: 0px; clear: both; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; max-width: 100%; box-sizing: border-box; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.621714px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">二、肠息肉大致可以分为三类</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">①肿瘤性息肉。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">包括早期腺瘤（畸形隐窝灶）、传统腺瘤（管状腺瘤、绒毛状腺瘤、混合型腺瘤）、锯齿状腺瘤（传统锯齿状腺瘤、广基锯齿状肿瘤息肉、混合增生性息肉/锯齿状腺瘤）和杵状-微腺管腺瘤，临床上管状腺瘤患者较多。比起有蒂腺瘤，无蒂腺瘤的癌变率较高，并且如果腺瘤越大，癌变可能性越大。腺瘤中绒毛成分越多，越可能癌变。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">②非肿瘤性息肉。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">患非肿瘤性息肉，癌变可能性较低。非肿瘤性息肉包括增生性息肉、错构瘤性息肉（如幼年性息肉、P-J综合征等）、淋巴性息肉、粘膜脱垂性息肉（肛管）炎性息肉。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">③肠息肉病 。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">如果在肠道出现数目多于100颗以上的息肉，并具有肠息肉病的特殊临床表现时，我们会怀疑患者患了肠息肉病。包括：</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">1.家族性腺瘤病；</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">2.Gardner综合征；</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">3.黑斑息肉病(Pentz-Jeghers综合征)；</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">4.Cronkhit Canada综合征。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">值得注意的是，近些年来，随着人们生活方式和习惯的改变，肠息肉的癌变率越来越高。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><img src="../../upload/news/20200925/06aa8cf4ce51dc709de6e5db05004f6d.png"><p style="margin-bottom: 0px; margin-left: 10px; padding-left: 16px; clear: both; text-align: justify; max-width: 100%; box-sizing: border-box; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.621714px; background-color: rgb(255, 255, 255); font-size: 12px; line-height: 16px; color: rgb(153, 153, 153); overflow-wrap: break-word !important;">腺瘤性肠息肉</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><h1 style="margin-top: 36px; margin-bottom: 22px; font-size: 24px; max-width: 100%; box-sizing: border-box; letter-spacing: 0.621714px; line-height: 32px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">三、不同的息肉癌变几率不一样</h1><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">①增生性息肉：最常见的一种息肉，又名化生性息肉。远侧大肠为多，较小，直径多＜1cm，表面光滑，基底较宽，单发或多发。这类息肉不发生恶变。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">②炎症性息肉：又名假息肉，是肠黏膜长期受慢性炎症刺激而形成的息肉样肉芽肿，多见于溃疡性结肠炎，阿米巴痢疾及肠结核等病的病变肠道。一般也不会癌变。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">③管状腺瘤：起源于直肠或结肠的良性息肉被称为腺瘤，并可进展成为癌变肿瘤。腺瘤十分常见，尤其是在50岁之后。圆形或椭圆形，表面光滑或有分叶，大小不一，直径多＜1cm，80%有蒂。此类息肉10年癌变率约1%-5%。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">④绒毛状腺瘤：较少见，多为单发。以直肠最常见，其次为乙状结肠。此类息肉癌变率较高，较管状腺瘤高10倍以上，10年癌变率在43-67%。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">⑤混合状腺瘤：这类癌变率介于管状腺瘤与绒毛状腺瘤之间。</p><h1 style="margin-top: 36px; margin-bottom: 22px; font-size: 24px; max-width: 100%; box-sizing: border-box; letter-spacing: 0.621714px; line-height: 32px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">四、哪些息肉是高危腺瘤？</h1><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">具备以下3项条件之一者，就可以称为高危腺瘤：</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">①息肉直径≥10mm；</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">②绒毛状腺瘤，或混合性腺瘤中绒毛结构超过25%；</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">③伴高级别上皮内瘤变。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">发现高危腺瘤性息肉的人，不但要及时切除，而且在切除后还要遵医嘱定期复查。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">因为：</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">第一，即使切除了，长腺瘤的环境还在，很可能还会复发；</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">第二，有的切除不一定彻底，留有残端；</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">第三，肠镜检查不是100%准确，由于清肠效果、医师经验、大肠结构的影响，很可能会漏诊。</p><h1 style="margin-top: 36px; margin-bottom: 22px; font-size: 24px; max-width: 100%; box-sizing: border-box; letter-spacing: 0.621714px; line-height: 32px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; overflow-wrap: break-word !important;">五、哪些人是肠癌的高危人群？</h1><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">①大便潜血阳性。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">②一级亲属有结直肠癌病史。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">③以往有肠道腺瘤史。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">④本人有癌症史。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">⑤有排便习惯的改变。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">⑦有盆腔放射史</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">⑦符合以下任意2项者：</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">慢性腹泻、慢性便秘、黏液血便、慢性阑尾炎或阑尾切除史、慢性胆囊炎或胆囊切除史、长期精神压抑，有报警信号。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">有以上任何一项者，建议在40岁以前做一次肠镜检查，并每1-3年复查一次。</p><img src="../../upload/news/20200925/9836caf69c7be86fab67d10465bf9092.png"><p style="margin-bottom: 0px; margin-left: 10px; padding-left: 16px; clear: both; text-align: justify; max-width: 100%; box-sizing: border-box; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.621714px; background-color: rgb(255, 255, 255); font-size: 12px; line-height: 16px; color: rgb(153, 153, 153); overflow-wrap: break-word !important;">腺瘤性息肉恶变模式图</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><img src="../../upload/news/20200925/338f4bf35117fd55b4b18211a20932a6.png"><p style="margin-bottom: 0px; margin-left: 10px; padding-left: 16px; clear: both; text-align: justify; max-width: 100%; box-sizing: border-box; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.621714px; background-color: rgb(255, 255, 255); font-size: 12px; line-height: 16px; color: rgb(153, 153, 153); overflow-wrap: break-word !important;">结肠各段腺瘤性息肉的检出率</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><h1 style="margin-top: 36px; margin-bottom: 22px; font-size: 24px; max-width: 100%; box-sizing: border-box; letter-spacing: 0.621714px; line-height: 32px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">六、肠镜检查是发现肠息肉的首要手段</h1><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">1、常见肠镜检查可分为：</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">①普通白光内镜。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">主要用于发现、诊断肠息肉。</p><img src="../../upload/news/20200925/48f37132ab563db29877ff5f50f2e617.png"><p style="margin-bottom: 0px; margin-left: 10px; padding-left: 16px; clear: both; text-align: justify; max-width: 100%; box-sizing: border-box; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.621714px; background-color: rgb(255, 255, 255); font-size: 12px; line-height: 16px; color: rgb(153, 153, 153); overflow-wrap: break-word !important;">白光下观察</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">②染色放大内镜。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">染色放大内镜，是把0.2-0.4%靛胭脂溶液喷在肠息肉表面，结合放大内镜，就可以有效的观察肠息肉表变的先关分型，能够判断病变性质、浸润深度等。用过染色放大内镜，可以决定是否能进行内镜下治疗。</p><p style="margin-bottom: 0px; clear: both; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.621714px; background-color: rgb(255, 255, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><br></p><p style="margin-bottom: 0px; margin-left: 10px; padding-left: 16px; clear: both; text-align: justify; max-width: 100%; box-sizing: border-box; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.621714px; background-color: rgb(255, 255, 255); font-size: 12px; line-height: 16px; color: rgb(153, 153, 153); overflow-wrap: break-word !important;">染色后的表现<img src="../../upload/news/20200925/7bb4ecb6424a28106ffa989c81b20c7d.png"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">③内镜窄带成像术（Narrow Band Imaging， NBI）。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">能够精确的观察消化道粘膜上皮的形态，还能观察到消化道粘膜上皮血管网的形态，能够精准的鉴别肿瘤和非肿瘤性息肉。</p><img src="../../upload/news/20200925/d21846621ab9d070133e58dd7b15c8ce.png"><p style="margin-bottom: 0px; margin-left: 10px; padding-left: 16px; clear: both; text-align: justify; max-width: 100%; box-sizing: border-box; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.621714px; background-color: rgb(255, 255, 255); font-size: 12px; line-height: 16px; color: rgb(153, 153, 153); overflow-wrap: break-word !important;">NBI下的分型</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">2.肠镜能检查到哪些部位？</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">肠镜能观察到直肠、全部结肠以及回肠末端的肠粘膜情况。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">3.做肠镜能从外观上判断息肉的性质吗？</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">做肠镜时，能够看到肠息肉的形态、颜色等，能从息肉表面的形态、色泽和微结构（腺管及微血管分型），非常有效的判断息肉的性质。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">4.肠镜检查时发现息肉该怎么办？</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">如果发现息肉，无论大小、形态、多少，都需要取活检以判断性质；并择机切除；切除后定期复查。</p><h1 style="margin-top: 36px; margin-bottom: 22px; font-size: 24px; max-width: 100%; box-sizing: border-box; letter-spacing: 0.621714px; line-height: 32px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">七、如何治疗？</h1><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">目前常见的内镜下息肉切除术主要有勒除器息肉切除术 (SS)、内镜下黏膜切除术 (EMR)、分次EMR(PEMR) 及内镜黏膜下剥离术 (ESD) 等。</p><img src="../../upload/news/20200925/81f9873f63cbaee3b22e9b906818fda7.png"><p style="margin-bottom: 0px; margin-left: 10px; padding-left: 16px; clear: both; text-align: justify; max-width: 100%; box-sizing: border-box; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.621714px; background-color: rgb(255, 255, 255); font-size: 12px; line-height: 16px; color: rgb(153, 153, 153); overflow-wrap: break-word !important;">镜下切除息肉示意</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><br data-filtered="filtered" style="max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"></p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">这些手术创伤小、恢复快，费用低廉，甚至不需要住院。</p><p style="margin-top: 16px; margin-bottom: 16px; clear: both; max-width: 100%; box-sizing: border-box; min-height: 1em; letter-spacing: 0.621714px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;">家族性结肠息肉 息肉数量多，癌病风险高，多建议外科手术切除。</p><div><br></div>