HSP与CSP治疗大肠息肉的效果及安全性的回顾性对照分析  

A retrospectively control analysis on effect and safety of HSP and CSP for treating colorectal polyps

作　　者：胡登华[1] 文光旭 康清杰 魏正强[1] HU Denghua;WEN Guangxu;KANG Qingjie;WEI Zhengqiang(Department of Gastrointestinal Surgery,First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院胃肠外科,400016

出　　处：《重庆医学》2021年第12期2013-2015,共3页Chongqing medicine

基　　金：重庆市重点疾病防治技术攻关课题项目(2019ZX003)。

摘　　要：目的观察冷圈套切除术(CSP)与热圈套切除术(HSP)治疗大肠息肉的效果及安全性。方法对该院内镜中心2016-2018年治疗的2764例大肠息肉患者进行回顾性分析,CSP组1318例、HSP组1446例。记录两组病例息肉直径、一次性切除率、术中出血率、术后迟发性出血率、术后迟发性穿孔率。结果CSP组息肉一次性切除率78.45%,HSP组为75.52%,两组比较差异无统计学意义(P>0.05)。CSP组术中出血发生率11.53%高于HSP组7.12%,差异有统计学意义(P<0.05)。CSP组术后迟发性出血率仅0.91%,术后迟发性穿孔率为0,低于HSP组的3.25%、0.41%,差异有统计学意义(P<0.05)。结论CSP治疗3~10 mm的大肠息肉时,能维持手术效果,术后严重并发症少,是一种安全有效的方法。Objective To observe the efficacy and safety of cold snare polypectomy(CSP)and hot snare polypectomy(HSP)for treating colorectal polyps.Methods The retrospectively analysis was performed on 2764 cases of colorectal polyps treated in the endoscopic center of this hospital during 2016-2018,including 1318 cases of CSP and 1446 cases of HSP.The diameter of polyps,once resection rates,intraoperative bleeding rate,postoperative delayed bleeding rate,postoperative delayed perforation rate were recorded in the two groups.Results The once resection rate in the CSP group was 78.45%and 75.52%in HSP group,and the difference was not statistically significant(P>0.05).The incidence rate of intraoperative bleeding in the CSP group was 11.53%,which was higher than 7.12%in the HSP group,and the difference was statistically significant(P<0.05).The occurrence rate of postoperative delayed bleeding in the CSP groups was only 0.91%,and the postoperative delayed perforation rate was 0,which were lower than 3.25%and 0.41%in the HSP group(P<0.05).Conclusion CSP for treating colorectal polyps with a diameter of 3-10 mm can maintain the operative effect with less postoperative serious complications,which is a safe and effective method.

关 键 词：大肠息肉 冷切除术 热切除术 效果 安全性 

分 类 号：R656[医药卫生—外科学]