内镜息肉冷切除术治疗结直肠小息肉的临床效果

Clinical effect of endoscopic cold snare polypectomy treating small colorectal polyps

摘要:

目的 研究内镜息肉冷切除术（CSP）治疗结直肠小息肉的临床效果。方法 选取2020年1月－2022年1月该院收治的118例结直肠小息肉（直径≤10 mm）患者作为研究对象，采用随机抛硬币法分为对照组（n = 59）和观察组（n = 59），对照组采用内镜息肉热圈套切除术（HSP）治疗，观察组采用内镜CSP治疗，比较两组患者息肉切除情况、手术指标、息肉切除率、术中、术后并发症和复发情况等。结果 观察组手术操作时间短于对照组，差异有统计学意义（P < 0.05）；观察组组织学完整切除率和直径1～5 mm息肉切除率高于对照组，差异均有统计学意义（P < 0.05）；观察组术中出血率、术后2周出血率和内镜下止血率低于对照组，差异均有统计学意义（P < 0.05）。结论 内镜CSP治疗结直肠小息肉，手术操作时间短，息肉切除率高，术中和术后并发症少，是一种安全、有效的治疗方式。

Abstract:

Objective To study the clinical effect of endoscopic cold snare polypectomy (CSP) on small colorectal polyps.Methods 118 patients with small colorectal polyps (diameter ≤ 10 mm) treated in the hospital from January 2020 to January 2022 were selected as the research subjects, and they were divided into control group (n = 59) and observation group (n = 59) according to the random coin toss method. The control group was treated with endoscopic hot snare polypectomy (HSP), while the observation group was given endoscopic CSP. The polyp resection, surgical indicators, polyp resection rate, intraoperative and postoperative complications and recurrence were compared between the two groups.Results The surgical procedure time in the observation group was shorter than that in the control group, the different was statistically significant (P < 0.05). The histological complete resection rate and resection rate of polyps with a diameter of 1~5 mm were higher than those in the control group, the differences were statistically significant (P < 0.05). The bleeding rate during surgery, bleeding rate at 2 weeks after surgery and hemostasis rate under endoscope in the observation group were lower than those in the control group, the differences were statistically significant (P < 0.05).Conclusion Endoscopic CSP has shorter surgical procedure time, higher polyp resection rate and fewer intraoperative and postoperative complications in the treatment of small colorectal polyps, and it is a safe and effective treatment method.