息肉套取冷切除术治疗中青年微小型结直肠息肉的回顾性队列研究  

Retrospective cohort study of cold snare polypectomy in the treatment of small colorectal polyps in young and middle-aged patients

作　　者：涂丽 吴学勇[1] 吴伟[1] TU Li;WU Xue-yong;WU Wei(Department of Gastroenterology,Wanbei Coal-Electricity Group General Hospital,Suzhou 234000,Anhui,China)

机构地区：[1]皖北煤电集团总医院消化内科,安徽宿州234000

出　　处：《川北医学院学报》2022年第7期947-950,共4页Journal of North Sichuan Medical College

摘　　要：目的:评价息肉套取冷切除术(CSP)在中青年微小型结直肠息肉治疗中的应用效果。方法:回顾性分析98例中青年微小型结直肠息肉(直径<10 mm)患者。其中51例接受CSP治疗,记为CSP组;另外47例接受圈套器息肉电切术(HSP)治疗,记为HSP组,息肉切除后均回收标本病理送检。比较两组一般资料、手术指标、息肉切除效果、并发症、治疗费用和术后复发率。结果:两组息肉大小、息肉数目、内镜分型和手术病理分型比较,差异无统计学意义(P>0.05)。两组均无穿孔发生,组间术中出血率、术后出血率比较,差异无统计学意义(P>0.05)。CSP组息肉切除时间、治疗费用少于HSP组,息肉完全切除率高于HSP组(P<0.05)。两组术后6个月、1年的息肉复发率比较,差异无统计学意义(P>0.05)。结论:CSP和HSP均是治疗中青年微小型结直肠息肉的有效手段,相较而言,CSP具有息肉切除时间短、完全切除率高和治疗费用低等优点,可作为理想治疗手段。Objective:To evaluate the effect of cold snare polypectomy(CSP)in the treatment of small colorectal polyps in young and middle-aged people.Methods:98 young and middle-aged patients with small colorectal polyps(diameter<10 mm)were analyzed retrospectively,of which 51 were treated with CSP and recorded as CSP group.The other 47 cases were treated with hot snare polypectomy(HSP)and recorded as HSP group.After polypectomy,all specimens were recovered for pathological examination.The general data,surgical indexes,polypectomy effect,complications,treatment cost and postoperative recurrence rate of the two groups were compared.Results:There was no significant difference in polyp size,polyp number,endoscopic classification and surgical pathological classification between the two groups(P>0.05).There was no perforation between the two groups.There was no significant difference in intraoperative bleeding rate and postoperative bleeding rate between the two groups(P>0.05).The polyp resection time and treatment cost in CSP group were shorter/less than those in HSP group,and the complete polyp resection rate was higher than that in HSP group(P<0.05).There was no significant difference in the recurrence rate of polyps between the two groups at 6 months and 1 year after operation(P>0.05).Conclusion:Both CSP and HSP are effective methods for the treatment of small colorectal polyps in middle-aged and young people.Compared with HSP,CSP has the advantages of short polyp resection time,high complete resection rate and low treatment cost.It can be used as an ideal treatment.

关 键 词：结直肠息肉 微小型 息肉套取冷切除术 圈套器息肉电切术 完全切除率 并发症 复发率 

分 类 号：R735.3[医药卫生—肿瘤]