金属钛夹在降低结肠息肉内镜下黏膜切除术后出血发生率中的作用  

Effect of titanium clip on reducing the incidence of postoperative hemorrhage of colonic polyps after endoscopic mucosal resection

作　　者：闫媛[1] 庄坤[1] 左利平[1] 张欣[1] 韩坤[1] 方雅丽[1] 张宁霞[1] 

机构地区：[1]西安市中心医院消化内科,陕西西安710004

出　　处：《临床医学研究与实践》2018年第4期15-16,共2页Clinical Research and Practice

摘　　要：目的探讨金属钛夹在降低结肠息肉内镜下黏膜切除术后出血发生率中的作用。方法对2011年1月至2016年6月于我院进行结肠息肉内镜下黏膜切除术(EMR)的1 120例患者进行回顾性研究。将患者根据不同治疗方法分为两组,A组(n=502)采用EMR联合金属钛夹治疗,B组(n=618)采用单纯EMR治疗。比较两组患者术后出血发生率。结果 A组患者术后出血发生率为0.20%,明显低于B组的5.18%,差异具有统计学意义(P<0.05)。结论结肠息肉内镜下黏膜切除术后进行钛夹切口夹闭可有效降低术后出血的发生率。Objective To explore effect of titanium clip on reducing the incidence of postoperative hemorrhage of colonic polyps after endoscopic mucosal resection. Methods A retrospective study was conducted on 1 120 patients undergoing endoscopic mucosal resection（EMR） of colonic polyps from January 2011 to June 2016 in our hospital. The patients were divided into two groups according to different treatment methods. The group A（n=502） was treated with EMR combined with titanium clips, while the group B（n=618） was treated with simple EMR. The incidence of postoperative hemorrhage in both groups were compared. Results The incidence of postoperative hemorrhage in the group A was 0.20%, which was significantly lower than 5.18% in the group B, the difference was statistically significant（P〈0.05）. Conclusion Titanium clip in incision closure can effectively reduce the incidence of postoperative hemorrhage of colonic polyps after EMR.

关 键 词：结肠息肉 内镜下黏膜切除术 金属钛夹 

分 类 号：R656.9[医药卫生—外科学]