结直肠息肉内镜摘除术后并发出血的影响因素分析  

Influencing factors of hemorrhage after endoscopic polypectomy of colorectal polyps

作　　者：陈旭永 倪卫国 姚明标 CHEN Xuyong;NI Weiguo;YAO Mingbiao(Department of Gastroenterology,Hematology and Oncology,the People’s Hospital of Xianju,Taizhou 317300,China;Department of Gastroenterology,Longsai Hospital of Zhenhai Ningbo,Ningbo 315200,China;Department of Anorectal Surgery,the Second People’s Hospital of Yuhang,Hangzhou 311100,China)

机构地区：[1]仙居县人民医院消化血液肿瘤内科,浙江台州317300 [2]宁波市镇海龙赛医院消化内科,浙江宁波315200 [3]余杭区第二人民医院肛肠外科,浙江杭州311100

出　　处：《健康研究》2020年第2期216-219,共4页Health Research

摘　　要：目的探讨影响结直肠息肉内镜摘除术后并发出血的影响因素。方法选取60例行内镜摘除术治疗的结直肠息肉患者作为研究对象。采用单因素分析和多因素Logistic回归分析结直肠息肉内镜摘除术后出血的影响因素。结果60例患者共切除息肉83枚,发生术后出血11例(18.3%)。单因素分析结果显示,不同摘除息肉数、息肉直径、切除方式、息肉形态,是否合并高血脂的行结直肠息肉内镜摘除术患者术后并发出血比例比较,差异均有统计学意义(P<0.05)。Logistic回归分析结果显示,摘除息肉数目≥3枚(OR=69.000)、合并高血脂(OR=4.145)、息肉直径≥10 mm(OR=6.667)、有蒂息肉(OR=4.846)是结直肠息肉内镜摘除术后并发出血的危险因素(P<0.05)。结论摘除息肉数目≥3枚、合并高血脂、息肉直径≥10 mm、有蒂息肉是结直肠息肉内镜摘除术后并发出血的危险因素。Objective To explore the influencing factors of hemorrhage after endoscopic polypectomy of colorectal polyps.Methods Sixty cases of colorectal polyps treated by endoscopic polypectomy were selected.Univariate analysis and multivariate logistic regression analysis were used to analyze the influencing factors of hemorrhage after endoscopic polypectomy of colorectal polyps.Results 83 polyps were removed from 60 patients,and 11(18.3%)patients had postoperative hemorrhage.The results of univariate analysis showed that there were significant differences in the proportion of hemorrhage in patients with different removed polyp number,polyp diameter,removal method,polyp shape and whether or not combined with hyperlipidemia(P<0.05).Logistic regression analysis showed that removed polyp number≥3(OR=69.000),combined with hyperlipidemia(OR=4.145),polyp diameter≥10 mm(OR=6.667),and pedicled polyps(OR=4.846)were the risk factors of hemorrhage after endoscopic polypectomy of colorectal polyps(P<0.05).Conclusions Removed polyp number≥3,combined with hyperlipidemia,polyp diameter≥10 mm,and pedicled polyps were risk factors for hemorrhage after endoscopic polypectomy of colorectal polyps.

关 键 词：结直肠息肉 内镜摘除术 术后出血 危险因素 

分 类 号：R574.62[医药卫生—消化系统]