精准医学杂志2024,Vol.39Issue(5):389-392,396,5.DOI:10.13362/j.jpmed.202405003
圈套器冷切除术治疗5~10mm胃息肉的有效性及安全性研究
Efficacy and safety of cold snare polypectomy in treatment of gastric polyps with a diameter of 5-10mm
摘要
Abstract
Objective To investigate the efficacy and safety of cold snare polypectomy(CSP)in the treatment of gastric polyps with a diameter of 5-10 mm.Methods A total of 161 patients with 313 polyps who were found to have sessile gastric polyps with a diameter of 5-10 mm by gastroscopy and underwent gastric polypectomy in Laoshan Campus,The Affiliated Hospi-tal of Qingdao University,from 2021 to 2022 were enrolled,and according to the surgical procedure for polypectomy,they were di-vided into CSP group with 88 patients(162 polyps)and hot snare polypectomy(HSP)group with 73 patients(151 polyps).The two groups were compared in terms of the complete resection rate and en bloc resection rate of gastric polyps,immediate bleeding rate,the rate of use of titanium clip during surgery,delayed bleeding rate,delayed gastric perforation rate,postoperative infection rate,and various inflammatory indicators after surgery.Results There were no significant differences between the two groups in the complete resection rate and en bloc resection rate of gastric polyps,immediate bleeding rate,delayed bleeding rate,delayed gastric perforation rate,and postoperative infection rate(P>0.05),and compared with the HSP group,the CSP group had a sig-nificantly lower rate of use of titanium clip(x2=13.482,P<0.05).Conclusion CSP is safe and effective in the treatment of gastric polyps with a diameter of 5-10 mm,and therefore,it holds promise for clinical application.关键词
息肉/胃/胃镜检查/内镜黏膜切除术/治疗结果Key words
Polyps/Stomach/Gastroscopy/Endoscopic mucosal resection/Treatment outcome分类
医药卫生引用本文复制引用
杜新菊,刘福国,路艳艳,李秀华,王伟华,荆雪..圈套器冷切除术治疗5~10mm胃息肉的有效性及安全性研究[J].精准医学杂志,2024,39(5):389-392,396,5.基金项目
青岛大学医学部"临床医学+X"工程教学研究项目(30702010014) (30702010014)