预防性使用金属夹在中等结直肠息肉内镜冷切除术中的应用价值OA

Objective To investigate the application value of prophylactic hemostatic clip placement in endoscopic cold snare polypectomy(CSP)for medium-sized colorectal polyps(CRP).Methods A total of 154 patients with medium-sized CRP(long diameter 6-10 mm)from July 2022 to July 2024 were selected as the research subjects and divided into two groups using the random number table method.Seventy-six patients in the control group underwent conventional painless endoscopic CSP,while 78 patients in the observation group received prophylactic hemostatic clip placement on the basis of endoscopic CSP.Surgery-related indicators(duration of intraoperative bleeding,procedure cost,duration of operation),and polyp resection(polypectomy time,en bloc resection rate)were compared,and the occurrence of postoperative complications(delayed bleeding,abdominal pain,abdominal distension),recovery and patient satisfaction were recorded.Results The duration of operation in the observation group was longer than that in the control group,and the procedure cost washigher than that of the control group,while the duration of intraoperative bleeding was shorter than that of the control group(P＜0.05).There was no significant difference in the polypectomy time and en bloc resection rate between the two groups(P＞0.05).The incidence of delayed postoperative bleeding in the observation group was lower than that in the control group(P＜0.05).There was no significant difference in the incidence of abdominal pain and abdominal distension between the two groups(P＞0.05).The recovery time of semi-liquid diet and normal diet in the observation group was shorter than that in the control group(P＜0.05).The satisfaction of patients in the observation group was higher than that in the control group(P＜0.05).Conclusion Prophylactic hemostatic clip placement in endoscopic CSP for medium-sized CRP can shorten duration of intraoperative bleeding and reduce the incidence of delayed postoperative bleeding,accelerate postoperative recovery of patients,and significantly increase patient satisfaction.However,it also leads to longer duration of procedure and higher costs.Therefore,prophylactic hemostatic clip placement should be individualized based on the patient's specific clinical circumstances.