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肠息肉内镜治疗术后并发症回顾性分析 被引量:5

Retrospective Analysis of Postoperative Complications of Intestinal Polyp Endoscopic Treatment
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摘要 目的回顾性的分析肠息肉内镜治疗术后并发症的问题。方法选择于我院实施治疗的肠息肉患者320例作为研究对象。所有患者均展开内镜治疗方案,予以患者展开严密的肠镜检查,通过具备丰富经验的权威的专业医师确认以及评估患者检查结果情况。评估内容为息肉大小、息肉形态、病理性质几项内容,统计并观察患者的术后并发症情况。结果相较于其他的手术方式而言,经内镜黏膜下剥离术和经内镜黏膜下切除术两种方式术后的并发症率相对较高,差异具有统计学意义(P <0.05);采取活检钳咬除手术举措得到的并发症率相对较低,差异具有统计学意义(P <0.05);观察并统计患者的肠息肉术后复发影响因素,密切的关联于患者的性别、息肉大小以及息肉的病理特征,差异具有统计学意义(P <0.05)。结论对于肠息肉患者来说,应该科学的选用最佳的手术方案提升治疗成效,将检查结果作为重要的依据,以确保患者的治疗安全性。 Objective To retrospectively analyze the postoperative complications of endoscopic polypectomy for intestinal polyps. Methods 320 patients with intestinal polyps who were treated in our hospital were selected as the research objects. All patients underwent endoscopic treatment, and the patients underwent intensive enteroscopy, which was confirmed and evaluated by experienced and authoritative doctors. The evaluation included the size, morphology and pathological nature of polyps, and the complications of patients were counted and observed. Results Comparing with other surgical methods, the complications of endoscopic submucosal dissection and endoscopic submucosal resection were relatively high (P < 0.05). The complication rate of biopsy forceps was relatively low, and the difference was statistically significant (P < 0.05). The influencing factors of the recurrence of intestinal polyps after operation were observed and counted. There were significant differences in gender, size of polyps and pathological characteristics of polyps (P < 0.05). Conclusion For patients with intestinal polyps, the best surgical procedure should be selected scientifically to improve the therapeutic effect, and the results of examination should be taken as an important basis to ensure the safety of treatment.
作者 赵爽 温艳惠 ZHAO Shuang WEN Yanhui(The First Department of Digestive Endoscopy,The Fourth Affiliated Hospital of China Medical University,Shenyang Liaoning 110032,China)
出处 《中国继续医学教育》 2019年第8期127-129,共3页 China Continuing Medical Education
基金 辽宁省教育厅科学技术研究项目(L2010680)
关键词 肠息肉 内镜治疗术 并发症 文献检索 观察指标 回顾性分析 intestinal polyps endoscopic treatment complications literature search observation indicators retrospective analysis
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