内镜下结直肠息肉切除术后复发的危险因素分析

Investigation of risk factors of the recurrence after endoscopic colorectal polypectomy

摘要:

目的 探讨内镜下结直肠息肉切除术后复发的危险因素，以提出最佳的防治措施。方法 回顾性分析2016年1月－2017年8月该院行内镜下结直肠息肉切除术163例患者的临床资料，术后随访1年，根据是否复发分为复发组与未复发组。比较两组患者临床资料引起术后复发的差异，包括：性别、年龄、肠息肉数目、肠息肉直径、肠息肉生长位置及组织病理类型等，并对筛选出的差异有统计学意义的危险因素进行多因素回归分析。结果 男性、年龄 ≥ 60岁、肠息肉 ≥ 3个、肠息肉直径 ≥ 2 cm和腺瘤性肠息肉是影响术后复发的独立危险因素（P < 0.05）。结论 操作时应充分考虑引起内镜下结直肠息肉切除术后复发的危险因素，术后针对危险因素的分级及患者实际状况制定个性化的随访方案，有利于降低复发的风险。

Abstract:

Objective To explore the risk factors of the recurrence after endoscopic colorectal polypectomy to propose the best prevention and treatment measures.Methods 163 patients who underwent colorectal polypectomy from January 2016 to August 2017 were enrolled. Patients were divided into relapse group and non-recurrence group according to the results after one year follow-up. The clinical data of the two groups were compared and analyzed with multiple logistic regression analysis.Results The risk factors for relapse after endoscopic colorectal polypectomy included male, age ≥ 60 years old, the number of colorectal polyps ≥3, the size of colorectal polyps ≥ 2 cm, and adenomatous intestinal polyps.Conclusion The risk factors of the recurrence after endoscopic colorectal polypectomy should be fully considered during operation, and a personalized follow-up plan for the classification of risk factors and the actual condition of the patients should be used to reduce the risk of recurrence.