冷圈套息肉切除术对大肠微/小息肉的临床效果  

Clinical effect of cold snare polypectomy for micro/small polyps in large intestine

作　　者：朱方擎 吴银霞 谢宁生[1] 汤建华[1] ZHU Fangqing;WU Yinxia;XIE Ningsheng;TANG Jianhua(Department of Gastroenterology,Ganzhou People's Hospital,Jiangxi Province,Ganzhou341000,China;Department of Rehabilitation Medicine,Ganzhou People's Hospital,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市人民医院消化内科,江西赣州341000 [2]江西省赣州市人民医院康复科,江西赣州341000

出　　处：《中国当代医药》2023年第19期41-44,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202311868)。

摘　　要：目的探讨冷圈套息肉切除术(CSP)对于内镜下<10 mm大肠微/小息肉的疗效与安全性。方法选取2021年9月至2022年12月赣州市人民医院消化内镜中心收治的213例大肠微/小息肉患者作为研究对象,使用简单随机分组方法分为CSP组(105例)和热凝电切除(HSP)组108例。比较手术完整切除率、标本回收率、手术时间、手术费用及患者术后出血率、术后穿孔率和术后感染率。结果CSP组手术费用低于HSP组,手术时间短于HSP组,差异有统计学意义(P<0.05);两组息肉完整切除率和标本回收率比较,差异无统计学意义(P>0.05);两组患者术中出血率比较,差异无统计学意义(P>0.05);CSP组术后出血率低于HSP组,差异有统计学意义(P<0.05);两组患者均未出现术中肠穿孔、术后肠穿孔及术后感染情况。结论对于<10 mm的大肠微/小息肉,选择CSP术,手术费用低、手术耗时短、术后并发症发生更少,CSP治疗方法值得临床选择。Objective To investigate the efficacy and safety of cold snare polypectomy(CSP)for endoscopic large intestine micro/small polyps<10 mm.Methods A total of 213 patients with micro/small large intestine polyps admitted to the Digestive Endoscopy Center of Ganzhou People's Hospital from September 2021 to December 2022 were selected as research objects,and were divided into CSP group(105 cases)and thermocoagulation electroresection(108 cases)group by simple randomization method.The complete resection rate,specimen recovery,operation time,operation cost,postoperative bleeding rate,postoperative perforation rate and postoperative infection rate were compared.Results The operation cost in CSP group was lower than that in HSP group,and the operation time was shorter than that in HSP group,the differences were statistically significant(P<0.05).There was no significant difference in complete polyp removal rate and specimen recovery rate between the two groups(P>0.05).There was no significant difference in the intraoperative bleeding rate between the two groups(P>0.05).The postoperative bleeding rate of CSP group was lower than that of HSP group,and the difference was statistically significant(P<0.05).No intraoperative intestinal perforation,postoperative intestinal perforation or postoperative infection occurred in two groups.Conclusion For micro/small polyps of large intestine<10 mm,CSP surgery has lower operation cost,shorter operation time and less postoperative complications.Therefore,the CSP group has better efficacy,higher efficiency and better safety.

关 键 词：冷圈套 热凝电切 息肉切除 大肠微/小息肉 

分 类 号：R574[医药卫生—消化系统]