微创医学2024，Vol.19Issue(3)：237-242,6.DOI:10.11864/j.issn.1673.2024.03.04
结直肠息肉行内镜下黏膜切除术术中出血的影响因素分析
Analysis of influencing factors on intraoperative bleeding in endoscopic mucosal resection of colorectal polyps
摘要
Abstract
Objective To investigate the related factors intraoperative bleeding in patients with colorectal polyps undergoing endoscopic mucosal resection(EMR).Methods A total of 471 patients with colorectal polyps who received EMR were enrolled as research objects and divided into an observation group and a control group based on whether there was intraoperative bleeding.Clinical data such as basic information,pathological factors and surgical related factors of patients were collected,and the influencing factors of intraoperative bleeding were analyzed by multivariate Logistic regression model.Results A total of 38 patients had intraoperative bleeding,with an incidence of 8.07％.The results of multivariate logistic regression analysis showed that the location of polyps,number of polyps,and number of titanium clips were independent influencing factors for intraoperative bleeding in EMR(all P＜0.05).Intraoperative bleeding was correlated with postoperative bleeding and postoperative fasting time(P＜0.05).Conclusion The location of polyps,number of polyps,and number of titanium clips are independent influencing factors of bleeding during EMR of intestinal polyps.Clinical prevention should be carried out according to the influencing factors to reduce the incidence of postoperative related complications.关键词
结直肠息肉/内镜下黏膜切除术/术中出血/影响因素Key words
Colorectal polyps/Endoscopic mucosal resection/Intraoperative bleeding/Influencing factors引用本文复制引用
仇继峰,罗艺珍,劳琦,叶冠廷,何志钧,郭先文..结直肠息肉行内镜下黏膜切除术术中出血的影响因素分析[J].微创医学,2024,19(3):237-242,6.基金项目
国家自然科学基金项目(编号:82060104) （编号:82060104）
广西自然科学基金重点项目(编号:2023GXNSFDA026015) （编号:2023GXNSFDA026015）
广西壮族自治区卫生健康委员会自筹经费科研课题(编号:Z-N20231905、Z20213722) （编号:Z-N20231905、Z20213722）
