不同内镜治疗方法肠息肉大小与形态的比较

Comparison of polyp size and morphology with different endoscopic treatments

目的:探讨不同内镜息肉切除术的肠息肉大小、形态及术中并发症的差异。方法:收集224例行肠息肉治疗的患者资料,共计切除息肉548枚。将收集资料分为APC、射频、电凝电切、EMR、ESD共5组,评估各组间息肉大小、形态及术中并发症的差异。结果息肉大小在5组间比较有统计学差异。息肉形态在各组的比较中,ESD分别与APC、射频、电凝电切三组两两比较差异无统计学意义(P>0.05),其余两两比较差异均有统计学意义(P<0.05)。术中出血在息肉形态各组间差异无统计学意义(P>0.05),但是在息肉大小及治疗方法各组间差异有统计学意义(P<0.05)。结论:根据息肉大小、形态来选择适宜的治疗方法可以降低术中出血的风险。

Objective:To investigate the polyp size,morphology and complications of different endoscopicpolypectomy.Methods:A total of224patients(548samples)with intestinal polyps treated.The clinical data weredivided into5groups:APC,radiofrequency ablation,electric coagulation,EMR,ESD,to evaluate the differenceof size,morphology and intraoperative complications between groups.Results:The size of polyps was statisticallydifferent among the5groups.APC,radiofrequency ablation and electric coagulation of the three groups werecompared.There was no statistical difference in the morphology of polyps between the groups with ESD.There wasno significant difference in intraoperative bleeding among the polypsmorphology(P>0.05),but there was statisticaldifference among the polyp size and the treatment methods(P<0.05).Conclusion:selecting appropriate treatmentaccording to the polyp size,morphology can reduce the risk of intraoperative bleeding.