局解手术学杂志2025，Vol.34Issue(4)：333-337,5.DOI:10.11659/jjssx07E024027
冷圈套内镜下黏膜切除术在治疗结直肠小息肉中的应用
Application of cold snare endoscopic mucosal resection in treating small colorectal polyps
丁飞 1郭浩 1祁崇斌 1徐少军 1李峰 1伍平 1董青1
作者信息
- 1. 安徽医科大学附属安庆第一人民医院消化内科,安徽 安庆 246003
- 折叠
摘要
Abstract
Objective To investigate the application effect of cold snare endoscopic mucosal resection(CS-EMR)in the treatment of 6 to 9 mm colorectal small polyps.Methods A total of 82 patients with small colonic polyps in our hospital from March 2022 to August 2023 were collected and divided into the observation group(45 cases received CS-EMR)and the control group[37 cases received hot snare endoscopic mucosal resection(HS-EMR)]according to different surgical methods.The clinical efficacy,polyp resection status,complete polyp resection rate,perioperative indicators and occurrence of complications were compared between the two groups.Results Follow-up for 1 month after operation,the effective rate of treatment in the observation group was higher than that in the control group(P<0.05).There was no statistically significant difference in the polyp resection status or perioperative indicators between the two groups(P>0.05).There was no statistically significant difference in the complete polyp resection rates of patients with different pathological types or total complete resection rate between the two groups(P>0.05).The incidence of delayed bleeding and endoscopic hemostasis rate in the observation group were lower than those in the control group(P<0.05).Conclusion The complete resection rate of 6～9 mm colorectal polyps through CS-EMR was comparable to that of HS-EMR,and CS-EMR has a better efficacy and lower risk of perioperative bleeding,along with higher safety.关键词
内镜/冷圈套内镜下黏膜切除术/结直肠/息肉/出血Key words
endoscope/cold snare endoscopic mucosal resection/colorectum/polyps/bleeding分类
医药卫生引用本文复制引用
丁飞,郭浩,祁崇斌,徐少军,李峰,伍平,董青..冷圈套内镜下黏膜切除术在治疗结直肠小息肉中的应用[J].局解手术学杂志,2025,34(4):333-337,5.
