中国实用内科杂志2026，Vol.46Issue(7)：591-597,7.DOI:10.19538/j.nk2026070110
结肠息肉内镜切除术后电凝综合征危险因素分析
Risk factors of electrocoagulation syndrome after endoscopic resection of colorectal polyps
摘要
Abstract
Objective To explore the risk factors of post-polypectomy electrocoagulation syndrome(PPCS)with colorectal polyps.Methods The clinical data of 147 patients with colorectal polyps who underwent endoscopic resection in our hospital from July 2019 to July 2024 were analyzed retrospectively.The risk factors of postoperative PPCS were analyzed by univariate analysis and multivariate analysis,and the prediction model was constructed.Results PPCS occurred in 31 patients.Univariate analysis showed that there were statistically significant differences in age,lesion size,lesion location,surgical method,surgical year,surgical time,pathological type,fasting days and hospital stay between the two groups(P＜0.05).Multivariate analysis showed that polyps located in the right colon,endoscopic submucosal dissection(ESD)and operation time≥60 min were independent risk factors for PPCS(all P＜0.05).Conclusion Colorectal polyps located in the right half colon,ESD and operation time≥60 min were closely related to postoperative PPCS.For those patients,medical staff should be more cautious in perioperative management.关键词
电凝综合征/结肠息肉/内镜下黏膜剥离术/内镜下黏膜切除术/危险因素Key words
electrocoagulation syndrome/colorectal polyps/endoscopic submucosal dissection/endoscopic mucosal resection/risk factors分类
医药卫生引用本文复制引用
陈煜洁,房玉海,张春林,王莉..结肠息肉内镜切除术后电凝综合征危险因素分析[J].中国实用内科杂志,2026,46(7):591-597,7.基金项目
天津市卫生健康科技项目(TJWJ2024QN106) （TJWJ2024QN106）
