冷圈套器息肉切除术治疗结直肠无蒂息肉(5~20mm)的临床分析

Clinical Analysis of Cold Snare Polypectomy for the Treatment of Tuberless Colorectal Polyps(5~20 mm)

目的分析探讨冷圈套器息肉切除术(Cold Snare Polypectomy,CSP)治疗结直肠无蒂息肉(5~20 mm)的临床效果。方法便利选取2022年3月—2023年9月盐城市大丰人民医院收治的76例结直肠无蒂息肉(5~20 mm)患者为研究对象,以随机数表法分为内镜下黏膜切除术(Endoscopic Hot Snare Mucosal Resection,EMR)组、CSP组,各38例,分别接受EMR治疗及CSP治疗。对比两组的息肉完全切除率、并发症发生率、单个息肉切除用时、住院时间、胃肠功能恢复时间、钛夹使用率、标本回收率。结果CSP组患者的息肉完全切除率为100%,高于EMR组的86.84%,差异有统计学意义(χ^(2)=7.037,P=0.007)。与EMR组相比,CSP组患者的标本回收率更高,并发症发生率、钛夹使用率更低,单个息肉切除用时、住院时间、胃肠功能恢复时间更短,差异有统计学意义(P均<0.05)。结论针对5~20 mm结直肠无蒂息肉患者,采取CSP方法进行治疗比EMR疗法能有效提高息肉完全切除率,且并发症发生率更低,患者的治疗及住院时间更短,效果更加理想。

Objective To investigate the clinical effects of cold snare polypectomy(CSP)in the treatment of tuberless colorectal polyps(5~20 mm).Methods A total of 76 patients with tuberless colorectal polyps(5~20 mm)admitted to Dafeng People's Hospital of Yancheng City from March 2022 to September 2023 were conveniently selected as the study objects.According to the random number table method,they were divided into EMR group and CSP group,with 38 cases in each group.They were treated with EMR and CSP respectively.The total polyp removal rate,complication rate,time for single polyp removal,hospital stay,gastrointestinal function recovery time,titanium clip utilization rate and specimen recovery rate were compared between the two groups.Results The complete removal rate of polyps in CSP group was 100%,which was higher than 86.84%in EMR group,the difference was statistically significant(χ^(2)=7.037,P=0.007).Compared with EMR group,CSP group had higher specimen recovery rate,and lower complication rate and titanium clip utilization rate,the time of single polyp resection,of hospital stay,of gastrointestinal function recovery were shorter,the differences were statistically significant(all P<0.05).Conclusion For the patients with 5~20 mm tuberless colorectal polyps,CSP treatment can effectively improve the complete resection rate,and the incidence of complications is lower,the treatment and hospitalization time of patients are shorter,and the effect is more ideal compared with the EMR treatment.