结肠息肉内镜下切除术后并发迟发性出血的影响因素研究进展  

Research Progress in Influencing Factors of Delayed Hemorrhage after Endoscopic Resection of Colonic Polyps

作　　者：邓婷 马洪升[1] 杨锦林[1] DENG Ting;MA Hongsheng;YANG Jinlin(Department of Gastroenterology,West China Hospital of Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院消化内科,成都610041

出　　处：《医学综述》2023年第9期1794-1798,共5页Medical Recapitulate

摘　　要：结肠息肉内镜下切除术已逐渐取代外科息肉切除术成为目前息肉切除的标准治疗方法,但该术式会引发术后出血、穿孔等并发症,迟发性出血即是较常见的并发症之一。迟发性出血不仅可发生于患者住院期间,还可发生于患者出院后,且较为隐匿,因此可能需再次入院、介入治疗等紧急医疗干预,从而导致患者住院时间延长、医疗费用增加,使患者产生焦虑、恐惧等情绪。因此,早期识别导致息肉切除术后迟发性出血的高危因素并采取相应的预防措施十分必要。Endoscopic resection of colonic polyps has gradually replaced surgical polypectomy as the standard treatment of polypectomy,but this operation may cause postoperative bleeding,perforation and other complications,among which delayed hemorrhage is one of the more common complications.Delayed hemorrhage can occur not only during the hospitalization but also after patient discharge,and it is relatively hidden.Therefore,emergency medical intervention such as readmission and interventional treatment may be required,which will lead to prolonged hospitalization,increased medical expenses,resulting in anxiety and fear of the patients.Therefore,it is necessary to identify the risk factors of delayed hemorrhage after polypectomy and take corresponding preventive measures.

关 键 词：迟发性出血 结肠息肉内镜下切除术 影响因素 

分 类 号：R574.62[医药卫生—消化系统]