摘要
目的:比较分析冷EMR治疗5~20mm结直肠无蒂息肉的临床效果和安全性。方法:选取2021年1月—2022年6月于我院接受结肠镜检查发现直径5~20mm的无蒂息肉150枚,根据息肉的大小分为A、B、C组,各50枚。A组息肉大小5~10mm,B组11~15mm,C组16~20mm,采用黏膜下注射后,病灶隆起,用圈套器切割病灶(非通电),比较三组结肠息肉的单个息肉切除时间、完整切除率、标本回收率、术中出血率、钛夹使用率、迟发性出血、穿孔率。结果:A、B、C三组单个息肉切除时间、完整切除率、标本回收率、迟发性出血、穿孔率无统计学差异(P>0.05);C组中术中出血率、钛夹使用率明显高于A、B组,有统计学差异(P<0.05)。结论:5~20mm的结直肠无蒂息肉,冷EMR治疗是安全有效的,对于15mm以上的息肉,虽术中出血偏多、钛夹使用增加,但同样安全有效。
Objective:To compare and analyze the clinical effect and safety of cold EMR in the treatment of 5~20mm colorectal sessile polyps.Methods:150 polyps with a length of 5~20mm were found by colonoscopy in our hospital from January 2021 to June 2022.According to the size of polyps,they were divided into groups A,B and C.The polyps in group A were 5~10mm,group B were 11~15mm and group C were 16~20mm.After submucous injection,the focus swelled and the focus was cut with snare(nonelectrified),the resection time of single polyp,the utilization rate of titanium clip,the complete resection rate of histology,the intraoperative bleeding rate,the delayed bleeding rate,the delayed perforation rate and the specimen recovery rate of the three groups were compared.Results:There was no significant difference in the resection time,complete resection rate,delayed bleeding,perforation and specimen recovery rate of single polyp in groups A,B and C(P>0.05).The utilization rate of titanium clip and intraoperative bleeding rate in group C were significantly higher than those in groups A and B(P<0.05).Conclusion:Cold EMR is safe and effective for 5~20mm colorectal sessile polyps.For polyps above 15mm,it is also safe and effective,although there is more bleeding and the use of titanium clips is increased.
作者
杨沱
YANG Tuo(Fuding Hospital of Fujian University of Traditional Chinese Medicine,Fuding City,Fujian Province 355200)
出处
《医学理论与实践》
2023年第9期1444-1446,共3页
The Journal of Medical Theory and Practice
