首页|结肠镜下黏膜切除术与冷圈套息肉切除术治疗结肠息肉的疗效对比分析

结肠镜下黏膜切除术与冷圈套息肉切除术治疗结肠息肉的疗效对比分析

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目的 探讨结肠镜下黏膜切除术(endoscopic mucosal resection,EMR)与冷圈套息肉切除术(cold snare polypectomy,CSP)治疗结肠息肉的疗效。方法 在2020年1月~2022年12月徐州医科大学第二附属医院诊治结肠息肉患者中选取120例作为研究对象,根据治疗方法将其分为两组。两组均进行常规治疗,对照组(60例)采用EMR治疗,观察组(60例)采用CSP治疗,对比两组患者治疗效果、手术指标和并发症。结果 观察组治疗有效率95。00%(57/60)高于对照组80。00%(48/60),差异有统计学意义(P<0。05);观察组息肉切除时间低于对照组,差异有统计学意义(P<0。05);两组患者术后并发症发生率均较低,差异无统计学意义(P>0。05)。结论 黏膜切除术与冷圈套息肉切除术治疗结肠息肉均有较好的治疗效果,术后并发症较少,安全有效,冷圈套息肉切除术手术时间方面具有一定的优势。
Comparative analysis of the curative effect of colonic polyp treated by endoscopic mucosal resection and cold snare polypectomy
Objective To explore the efficacy of endoscopic mucosal resection(EMR)and cold snare polypectomy(CSP)in the treatment of colon polyps.Methods From January 2020 to December 2022,120 patients with colon polyps in the Second Affiliated Hospital of Xuzhou Medical University were selected as the study objects and divided into two groups according to the treatment methods.Both groups received conventional treatment,the control group(60 cases)was treated with EMR,the observation group(60 cases)was treated with CSP,and the therapeutic effect,surgical indexes and complications were compared between the two groups.Results The effective rate of the observation group was 95.00%(57/60)higher than that of the control group 80.00%(48/60),the difference was statistically significant(P<0.05);The time of polypectomy in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications was lower in both groups,with no statistical significance(P>0.05).Conclusion Both mucosal resection and cold snare polypectomy are effective in the treatment of colon polyps,with fewer postoperative complications,and are safe and effective.The operation time of cold snare polypectomy has certain advantages.

Colonoscopic mucosal resectionCold snare polypectomyColon polypOperation timeComplication

张媛、石丽红、唐成祥、赵旋、赵淼

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徐州医科大学第二附属医院消化内科,江苏徐州 221000

结肠镜下黏膜切除术 冷圈套息肉切除术 结肠息肉 手术时间 并发症

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(3)
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