Comparison of Endoscopic CSP and HSP in the Treatment of Colorectal Polyps with Diameter ≤10mm
Objective:To compare and analyze the efficacy of endoscopic snare cold resection (CSP) and endoscopic snare thermal resection (HSP) in the treatment of colorectal polyps (CP) with diameter ≤10mm. Methods:180 patients with diameter ≤10mmCP in our hospital from October 2021 to January 2024 were collected and divided into CSP group (90 cases) and HSP group (90 cases) according to different surgical methods. The therapeutic effects of the two groups were compared. Results:The time of polypectomy,the number of titanium clips used and the cost of treatment in CSP group were lower than those in HSP group (P<0.05),and there were no significant differences in the complete polypectomy rate,complete polypectomy rate and polyp recovery rate among groups (P>0.05). The incidence of intraoperative bleeding in CSP group was higher than that in HSP group,and the incidence of delayed bleeding,submucosal involvement injury,perforation and electrocoagulation syndrome was lower than that in HSP group (P<0.05). The level of postoperative stress index in CSP group was lower than that in HSP group (P<0.05). Conclusion:Compared with endoscopic HSP,endoscopic CSP has the same effect in the treatment of patients with diameter ≤10mmCP,but the operation time is short,the operation safety is high,the treatment cost is low,and the stress reaction to patients is lighter during the operation,which can create favorable conditions for the postoperative recovery of patients.