结肠镜下黏膜切除术与冷圈套息肉切除术治疗结肠息肉的疗效对比  

Comparative Analysis of the Efficacy of Colonoscopic Mucosal Resection And Cold Snare Polypectomy in the Treatment of Colon Polyps

作　　者：肖昭元 曾楚雄 Xiao Zhaoyuan;Zeng Chuxiong(Gastroenteroscopy Room,Functional Examination Department,Pingyuan County People's Hospital,Meizhou Guangdong 514600,China)

机构地区：[1]平远县人民医院功能检查科胃肠镜室,广东梅州514600

出　　处：《生命科学仪器》2024年第5期37-39,共3页Life Science Instruments

摘　　要：目的对比分析结肠镜下黏膜切除术(EMR)与冷圈套息肉切除术(CSP)治疗结肠息肉的临床疗效。方法 选择2021年1月至2024年5月平远县人民医院收治的结肠息肉患者128例,根据手术方法不同分为EMR组和CSP组,每组64例。EMR组接受结EMR治疗,CSP组接受CSP治疗。对比两组临床疗效、术中息肉切除时间、即刻出血情况及并发症情况。结果 EMR组治疗总有效率低于CSP组,P<0.05。EMR组息肉切除时间明显多于CSP组,P<0.05;两组均有即刻出血情况,但两者对比,P>0.05。两组并发症发生率对比,EMR组高于CSP组,P<0.05。结论 CSP在结肠息肉治疗中具有显著的有效性,不仅能有效切除息肉组织,还能缩短切除时间,降低术后复发风险。Objective:To compare and analyze the clinical efficacy of colonoscopic mucosal resection and cold trap polypectomy in the treatment of colon polyps.Methods:One hundred and twenty-eight patients with colonic polyps admitted to Pingyuan People's Hospital from January 2021 to May 2024 were divided into EMR group and CSP group according to different surgical methods,with 64 cases in each group.EMR group received colonoscopic mucosal resection and CSP group received cold trap polypectomy.The clinical efficacy、intraoperative polypectomy time、immediate bleeding and complications were compared between the two groups.Results:The total effective rate in EMR group was lower than that in CSP group,P<0.05.The time of polypectomy in EMR group was significantly longer than that in CSP group,P<0.05.Both groups had immediate bleeding,but the comparison between them was,P>0.05.The incidence of complications in EMR group was higher than that in CSP group,P<0.05.Conclusion:Cold trap polypectomy is effective in the treatment of colon polyps,which can not only effectively remove polyp tissue,but also reduce the risk of postoperative recurrence.

关 键 词：结肠镜下黏膜切除术 冷圈套息肉切除术 结肠息肉 

分 类 号：R735.34[医药卫生—肿瘤]