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不同方法治疗结肠多发腺瘤性小息肉的临床研究

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目的 比较热圈套息肉切除术(HSP)、冷圈套息肉切除术(CSP)、黏膜下注射冷圈套切除(CS-EMR)治疗结肠多发腺瘤性小息肉的临床价值。方法 本研究为回顾性分析,选取2021年10月至2022年8月内蒙古医科大学附属医院消化内科行结肠息肉切除的450例结肠息肉患者为研究对象。根据手术方案的不同分为三组,选择采取热圈套息肉切除术治疗的患者150例为HSP组、选择采取冷圈套息肉切除术治疗的患者150例为CSP组、选择采取黏膜下注射冷圈套切除术治疗的患者150例为CS-EMR组。收集患者的基线资料,对比分析组间手术指标及息肉基本特征。结果 三组患者的基线资料、息肉基本特征比较,差异均无统计学意义(P>0。05)。息肉切除时间比较,CSP组<CS-EMR组<HSP组,差异有统计学意义(P<0。05);止血夹使用数量比较,HSP组低于CSP组和CS-EMR组(P<0。05);息肉完整切除率,CSP组低于CS-EMR组和HSP组(P<0。05);术中出血率比较,HSP组、CS-EMR组低于CSP组(P<0。05);迟发性出血率比较,HSP组高于CSP组和CS-EMR组(P<0。05)。结论 CSP、HSP、CS-EMR均是治疗结肠多发小息肉的有效方案,CSP术中出血率较高、息肉完整切除率较低,HSP迟发性出血率较高,CS-EMR息肉完整切除率较高、术中出血率和迟发性出血率均较低。
Clinical study on different methods to treat multiple small polyps of colon
Objective To compare the clinical value of heat trap polypectomy(HSP),cold trap polypectomy(CSP)and submucosal injection cold trap polypectomy(CS-EMR)in the treatment of multiple small polyps of colon.Methods This study was a retrospective analysis,450 patients with colon polyps who underwent colon polypectomy from October 2021 to August 2022 in the Department of Gastroenterology of Affilated Hospital of Inner Mongdia Medical University as the research object.They were divided into three groups according to different surgical schemes,namely CSP group(n=150),HSP group(n=150)and CS-EMR group(n=150).HSP group performed HSP,CSP group performed CSP,and CS-EMR group performed CS-EMR.The baseline data,the general situation of operation and the basic characteristics of polyps were compared.Results There was no significant difference in baseline data and basic characteristics of polyps among the three groups(P>0.05).The polypectomy time in CSP group was less than that in<CS-EMR group and<HSP group(P<0.05).The number of hemostatic clips used in HSP group was lower than that in CSP group and CS-EMR group(P<0.05).The complete resection rate of polyps in CSP group was lower than that in CS-EMR group and HSP group(P<0.05).The bleeding rate in HSP group and CS-EMR group was lower than that in CSP group(P<0.05).The rate of delayed bleeding in HSP group was higher than that in CSP group and CS-EMR group(P<0.05).Conclusion CSP,HSP and CS-EMR were all effective schemes for the treatment of multiple small polyps in colon.The bleeding rate during CSP was high,the complete resection rate of polyps was low,the delayed bleeding rate of HSP was high,the complete resection rate of polyps in CS-EMR was high,and the bleeding rate during operation and the delayed bleeding rate were low.

Colon polypHeat trap polypectomyCold trap polypectomySubmucosal injection cold trap polypectomyComplete resection rate

高娃、杨琴、王晗、曹春莉

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内蒙古医科大学附属医院消化内科,内蒙古呼和浩特 010050

结肠息肉 息肉切除术 圈套切除 完整切除率

内蒙古自治区高等学校科学研究项目

NJZY22669

2024

中国临床医生杂志
人民卫生出版社

中国临床医生杂志

CSTPCD
影响因子:1.86
ISSN:2096-4528
年,卷(期):2024.52(9)