摘要
目的:探讨冷圈套器息肉切除术(CSP)治疗结直肠小息肉老年患者的临床效果。方法:选择80例行结直肠息肉切除的老年患者为研究对象,均为我院2019年2月至2021年4月期间收治的。根据采用的手术方式不同,将所有研究对象分为2个组别:观察组、对照组,各有患者40例。对照组实施热圈套息肉切除术(HSP)治疗,观察组实施CSP术治疗。观察两组内镜操作时间、息肉切除时间、息肉切除数、息肉直径、息肉切除完全率以及并发症发生率。结果:在内镜操作时间、息肉切除时间方面,观察组较对照组明显降低(P<0.05)。与对照组比较,观察组患者的息肉切除完全率显著提高(P<0.05)。在息肉切除数、息肉直径以及术后并发症发生率方面,两组之间不具有统计学差异(P>0.05)。结论:与HSP相比,行CSP治疗结直肠息肉老年患者的优势明显,该手术方式操作方便、手术时间短、息肉切除完全率高,且安全性高,值得进行广泛的临床推广应用。
Objective:To investigate the clinical effect of cold trap polypectomy(CSP)in the treatment of elderly patients with small colorectal polyps.Method:80 elderly patients who underwent colorectal polypectomy were selected as the research objects,all of whom were treated in our hospital from February 2019 to April 2021.According to different surgical methods,all subjects were divided into two groups:observation group and control group,with 40 patients in each group.The control group was treated with hot trap polypectomy(HSP),and the observation group was treated with CSP.The endoscopic operation time,polypectomy time,polypectomy number,polyp diameter,complete polypectomy rate and complication rate were observed.Result:The endoscopic operation time and polypectomy time in the observation group were significantly lower than those in the control group(P<0.05).Compared with the control group,the complete rate of polypectomy in the observation group was significantly higher(P<0.05).There was no significant difference in the number of polyps removed,the diameter of polyps and the incidence of postoperative complications between the two groups(P>0.05).Conclusion:Compared with HSP,CSP has obvious advantages in the treatment of elderly patients with colorectal polyps.This operation method has the advantages of convenient operation,short operation time,high complete rate of polypectomy and high safety.It is worthy of extensive clinical application.
作者
程卫杰
袁楚明
黄耿基
张楚龙
Cheng Weijie(Department of Gastroenterology,Jieyang people's Hospital,Jieyang Guangdong 522000)
出处
《黑龙江医药》
CAS
2022年第2期439-441,共3页
Heilongjiang Medicine journal
