Effect of preventive placement of titanium clips for endoscopic treatment of delayed bleeding in colorectal polyps
Objective To investigate the effect of prophylactic placement of titanium clips on endoscopic treatment of delayed bleeding in patients with colorectal polyps.Method 120 patients with colorectal polyps treated in The First Affiliated Hospital of Hainan Medical College from January 2022 to October 2023 were studied,all of whom underwent endoscopic mucosal resection,and were randomly divided into two groups,the observation group(n=60)and control group(n=60)according to the random number table method,The observation group received prophylactic placement of titanium clips for hemostasis during surgery,while the control group.The indicators of intraoperative hemostasis,postoperative recovery,and delayed bleeding in both groups were compared.Results For immediate hemostasis rate and operation time,had no significant difference between two groups(P＞0.05).In the observation group compared with the control group,the effective hemostasis rate was higher significantly,and the intraoperative hemostasis treatment time was shorter significantly(P＜0.05);the observation group had a significantly shorter time for occult blood to turn negative and hospital stay compared the control group,(P＜0.05);Between the two groups,there was of no significant difference in the recovery time of bowel sounds(P＞0.05).In the observation group,The incidence of postoperative delayed bleeding and the need for endoscopic hemostasis compared with the control group were significantly lower(P＜0.05),in blood transfusion rate in both groups had no significant difference(P＞0.05).Conclusion During endoscopic treatment of colorectal polyps,the prophylactic placement of titanium clips was more effective in stopping bleeding and had a better preventive effect on the occurrence of delayed bleeding.
万方数据
维普
