圈套器冷切除术在结直肠息肉应用中的最新进展  

Advances in cold snare polypectomy for colorectal polyp

作　　者：牟一[1] 张力凡 胡兵[1] Mou Yi;Zhang Lifan;Hu Bing(Department of Gastroenterology and Hepatology,Digestive Endoscopy Medical Engineering Research Laboratory,West China Hospital,Sichuan University,610041 Chengdu,China)

机构地区：[1]四川大学华西医院消化内科、消化内镜医工研究室,成都610041

出　　处：《中华胃肠内镜电子杂志》2024年第4期253-258,共6页Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition)

基　　金：四川大学华西医院学科卓越发展1·3·5工程临床研究基金(2024HXFH033)

摘　　要：结直肠癌是全球高发恶性肿瘤,通过肠镜筛查发现结直肠息肉并切除息肉可降低结直肠癌发病率及死亡率。绝大部分结直肠息肉为直径<10 mm的小息肉,此类息肉癌变率极低,更迫切需要高效、安全、简单的内镜治疗方案。圈套器冷切除术(CSP)由于无需电凝电切,没有热效应带来的损伤,几乎没有穿孔,术后出血率也极低,但却拥有与热切除相当的完整切除率,无疑满足上述要求。但由于CSP为机械切割,技术本身也存在一定的局限性。结直肠息肉切除指南对于CSP的建议也随着技术的发展有不断的更新,本文将对圈套器冷切除的最新进展做一综述总结。Colorectal cancer is a highly prevalent malignant tumor globally.Screening by colonoscopy to detect colorectal polyps and removing the polyps can reduce the incidence and mortality of colorectal cancer.The vast majority of colorectal polyps are small polyps with a diameter less than 10 mm.The canceration rate of such polyps is extremely low,and there is a more urgent need for an efficient,safe,and simple endoscopic treatment plan.The cold snare polypectomy does not require electrocoagulation or electrocution,has no damage caused by thermal effects,has almost no perforation,and has an extremely low postoperative bleeding rate,but it has a complete resection rate comparable to that of thermal resection,undoubtedly meeting the above requirements.However,since the cold snare polypectomy is a mechanical cutting,the technique itself also has certain limitations.The recommendations for cold snare polypectomy in the guidelines for colorectal polyp resection have also been continuously updated with the development of technology.This article will review and summarize the latest progress of cold snare polypectomy.

关 键 词：圈套器冷切除术 结直肠息肉 适应证 

分 类 号：R656.9[医药卫生—外科学]