在4-10毫米大小的结肠腺形息肉内镜切除后出现出血
11Department of Gastroenterology, ReMedika, General Hospital, Skopje, RN Macedonia.
概括
冷陷多角切除术 (CSP) 比热陷多角切除术 (HSP) 更安全地去除结肠 (4-10毫米),没有延迟出血的风险. 与HSP相比,CSP显示立即出血的发生率较低.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
- 大肠直肠癌的预防和预防.
背景情况:
- 结肠镜检查与多角切除术对于通过切除腺瘤多体来预防结肠直肠癌至关重要.
- 冷陷多角切除术 (CSP) 和热陷多角切除术 (HSP) 是切除大小为4-10毫米的息肉的常见方法.
- 与HSP相比,CSP与较少的不良事件有关,特别是延迟的多角切除术后出血,与HSP相比.
研究的目的:
- 为了比较冷陷多角切除术 (CSP) 和热陷多角切除术 (HSP) 之间的即时和延迟出血的发生率,用于亚厘米的结肠多.
- 评估CSP与HSP在聚切除中的安全性和有效性.
主要方法:
- 一项前性临床研究,涉及在结肠镜查期间偶然检测到腺瘤结肠 (4-10毫米) 的患者.
- 使用冷陷 (不用电) 或热陷 (用电) 进行的多角切除术.
- 分析立即出血,延迟出血,以及经过多角切除术后的静血干预措施.
主要成果:
- 这项研究包括116名患者 (113名CSP的息肉,95名HSP).
- 在CSP病例中,22.1%发生了即时出血,其中20%需要剪辑;在CSP中没有观察到延迟出血.
- 在HSP组中没有记录到立即出血,但有一名患者经历了延迟出血,成功使用剪辑来控制.
结论:
- 冷陷多角切除术 (CSP) 是一种比热陷多角切除术 (HSP) 更安全的方法,用于切除大小为4-10毫米的结肠息肉.
- CSP显示不良事件的风险明显降低,特别是消除了延迟出血的风险.
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