圈套器冷切除术治疗5~10 mm胃息肉的有效性及安全性研究  

Efficacy and safety of cold snare polypectomy in treatment of gastric polyps with a diameter of 5-10 mm

作　　者：杜新菊 刘福国[3] 路艳艳[3] 李秀华 王伟华 荆雪[3] DU Xinju;LIU Fuguo;LU Yanyan;LI Xiuhua;WANG Weihua;JING Xue(Faculty of Medicine,Qingdao University,Qingdao 266071,China)

机构地区：[1]青岛大学医学部,山东青岛266071 [2]淄博市张店区人民医院消化内科 [3]青岛大学附属医院消化内科

出　　处：《精准医学杂志》2024年第5期389-392,396,共5页Journal of Precision Medicine

基　　金：青岛大学医学部“临床医学+X”工程教学研究项目(30702010014)。

摘　　要：目的探讨圈套器冷切除术(CSP)治疗5~10 mm胃息肉的有效性及安全性。方法选取2021—2022年在青岛大学附属医院崂山院区消化内科行胃镜检查发现5~10 mm无蒂胃息肉并行胃息肉切除术的患者共161例(息肉313枚),依据切除术式不同分为CSP组88例(息肉162枚)和圈套器热切除术(HSP)组73例(息肉151枚)。分析两组患者胃息肉的完全切除率、整块切除率、即时出血率、术中钛夹使用率、迟发出血率、胃迟发穿孔率、术后感染率及术后各项炎性指标并进行比较。结果两组患者胃息肉的完全切除率、整块切除率、即时出血率、迟发出血率、胃迟发穿孔率及术后感染率均无统计学差异(P>0.05),CSP组患者术中钛夹使用率显著低于HSP组(χ^(2)=13.482,P<0.05)。结论CSP治疗5~10 mm胃息肉与HSP同样安全有效,值得在临床推广应用。Objective To investigate the efficacy and safety of cold snare polypectomy(CSP)in the treatment of gastric polyps with a diameter of 5-10 mm.Methods A total of 161 patients with 313 polyps who were found to have sessile gastric polyps with a diameter of 5-10 mm by gastroscopy and underwent gastric polypectomy in Laoshan Campus,The Affiliated Hospital of Qingdao University,from 2021 to 2022 were enrolled,and according to the surgical procedure for polypectomy,they were divided into CSP group with 88 patients(162 polyps)and hot snare polypectomy(HSP)group with 73 patients(151 polyps).The two groups were compared in terms of the complete resection rate and en bloc resection rate of gastric polyps,immediate bleeding rate,the rate of use of titanium clip during surgery,delayed bleeding rate,delayed gastric perforation rate,postoperative infection rate,and various inflammatory indicators after surgery.Results There were no significant differences between the two groups in the complete resection rate and en bloc resection rate of gastric polyps,immediate bleeding rate,delayed bleeding rate,delayed gastric perforation rate,and postoperative infection rate(P>0.05),and compared with the HSP group,the CSP group had a significantly lower rate of use of titanium clip(χ^(2)=13.482,P<0.05).Conclusion CSP is safe and effective in the treatment of gastric polyps with a diameter of 5-10 mm,and therefore,it holds promise for clinical application.

关 键 词：息肉 胃 胃镜检查 内镜黏膜切除术 治疗结果 

分 类 号：R573[医药卫生—消化系统] R730.269[医药卫生—内科学]