Analysis of Clinicopathological Characteristics and Endoscopic Surgical Treatment Effect of Cancerous Colorectal Polyps
Objective To study the clinicopathological characteristics of cancerous colorectal polyps patients,and to an-alyze the therapeutic effect of endoscopic surgery,in order to provide a reference for the standardized clinical treatment of colorec-tal cancer.Methods 106 cancerous patients with colorectal polyps were selected.Clinical data were collected by self-made scale to analyze clinicopathological characteristics.According to the different treatment types,they were divided into endoscopic groups and the control group,with 53 cases each.Compared the perioperative index with the postoperative complication rate and recur-rence rate.Results Among the 106 patients with cancerous colorectal polyps,the lesion was located in the proximal colon in 19 cases(17.92%),and 84 cases in the distal colon(79.25%),3 cases uncertain(2.83%);The clinical manifestations was hema-tochezia in 53 cases(50.00%);Severe dysplasia in 45 cases(42.45%),and internal mucosal carcinoma in 61 cases(57.55%);Stcult blood positive 65 cases(61.32%);63 cases pedunculated polyp(59.43%)and 43 cases sessile polyp(40.57%);23 polyps(21.70%)＜2 cm,and 83 polyps≥2 cm(78.30%);Operation time and recurrence rate in the endoscopic group and the control group had no statistical difference(P＞0.05);Postoperative fasting time,postoperative bowel peristalsis re-covery time,postoperative hospital stay time in the endoscopic group was shorter than that in the control group,The intraoperative bleeding volume and the postoperative complication rate were lower than the control group,there had statistical difference(P＜0.05).Conclusion Age≥40,overweight,smoking history,stool latent blood positive patients with colorectal polyp cancer risk,clinical need to regularly conduct electronic screening colonoscopy,and for patients with endoscopic surgery can reduce intraoper-ative bleeding,shorten the postoperative recovery time and hospital stay,reduce recurrence,is worth promoting.
万方数据
维普
