首页|内镜下圈套器冷切除术与热切除术治疗结直肠息肉患者的效果比较

内镜下圈套器冷切除术与热切除术治疗结直肠息肉患者的效果比较

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目的:比较内镜下圈套器冷切除术(CSP)与热切除术(HSP)治疗结直肠息肉患者的效果.方法:选取 2021 年 2 月至2023年2月该院收治的109例结直肠息肉患者进行前瞻性研究,按随机数字表法将其分为对照组54 例与研究组55 例.对照组采用HSP治疗,研究组采用CSP治疗,比较两组手术相关指标水平、钛夹使用情况、并发症发生率和复发率.结果:研究组手术时间、单个息肉切除时间均短于对照组,差异有统计学意义(P<0.05);两组息肉完整切除率和标本回收率比较,差异均无统计学意义(P>0.05);研究组平均使用钛夹数、钛夹使用率均低于对照组,差异有统计学意义(P<0.05);两组并发症发生率和复发率比较,差异均无统计学意义(P>0.05).结论:CSP治疗结直肠息肉患者可缩短手术时间和单个息肉切除时间,降低平均使用钛夹数和钛夹使用率,其效果优于HSP治疗.
Comparison of effects of endoscopic cold snare polypectomy and hot snare polypectomy in treatment of patients with colorectal polyps
Objective:To compare effects of endoscopic cold snare polypectomy and hot snare polypectomy in treatment of patients with colorectal polyps.Methods:A prospective study was conducted on 109 patients with colorectal polyps admitted to this hospital from February 2021 to February 2023.According to the random number table method,they were divided into a control group of 54 cases and a study group of 55 cases.The control group was treated with endoscopic hot snare polypectomy(HSP),while the study group was treated with endoscopic cold snare polypectomy(CSP).The levels of operation-related indicators,the use of titanium clips,the incidence of complications,and the recurrence rate were compared between the two groups.Results:The operation time and the single polyp resection time of the study group were shorter than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the complete resection rate and the specimen recovery rate between the two groups(P>0.05).The average number of titanium clips and the utilization rate of titanium clips in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).There were no significant differences in the incidence of complications and the recurrence rate between the two groups(P>0.05).Conclusions:CSP in the treatment of the patients with colorectal polyps can shorten the operation time and the single polyp resection time and reduce the average number of titanium clips and the utilization rate of titanium clips.Moreover,it is superior to HSP treatment.

Colorectal polypsEndoscopic snareCold snare polypectomyHot snare polypectomyComplication

王东琪、葛相栓、王慧超

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河南宏力医院消化内科,河南 新乡 453400

结直肠息肉 内镜下圈套器 冷切除术 热切除术 并发症

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(18)