结肠息肉内镜切除术后电凝综合征危险因素分析OA
Risk factors of electrocoagulation syndrome after endoscopic resection of colorectal polyps
目的 探讨结肠息肉内镜切除术后电凝综合征(PPCS)发生的危险因素.方法 回顾性分析2019年7月至2024年7月在天津市东丽医院行内镜切除的147例结肠息肉患者的临床资料.通过单因素分析及多因素logistic回归分析患者术后发生PPCS的危险因素,并构建预测模型.结果 31例患者术后出现PPCS.单因素分析显示在年龄、病变大小及位置、手术方式、手术年份、手术时间、病理学类型、禁食天数及住院时间方面,两组患者的差异均具有统计学意义(P＜0.05).多因素logistic回归分析显示息肉位于右半结肠、手术方式为内镜下黏膜剥离术(ESD)及手术时间≥60 min是PPCS的独立危险因素(均P＜0.05).结论 结肠息肉位于右半结肠、手术方式为ESD及手术时间≥60 min与术后发生PPCS紧密相关,对于这些患者,医护人员在围手术期管理时应更加谨慎小心.
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.
陈煜洁;房玉海;张春林;王莉
天津市东丽医院消化内科,天津 300300天津市东丽医院消化内科,天津 300300天津市东丽医院消化内科,天津 300300天津市东丽医院消化内科,天津 300300
医药卫生
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
electrocoagulation syndromecolorectal polypsendoscopic submucosal dissectionendoscopic mucosal resectionrisk factors
《中国实用内科杂志》 2026 (7)
591-597,7
天津市卫生健康科技项目(TJWJ2024QN106)
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