【摘要】：目的分析胃腸息肉切除術(shù)后發(fā)生并發(fā)癥的危險(xiǎn)因素。方法對(duì)2014年12月~2016年6月于我院行胃腸息肉切除手術(shù)的162例患者進(jìn)行調(diào)查分析,包括患者相關(guān)因素、息肉相關(guān)因素及手術(shù)治療方式等,研究術(shù)后并發(fā)癥的危險(xiǎn)因素。結(jié)果 162例行胃腸息肉切除術(shù)患者中16例(9.88%)發(fā)生相關(guān)并發(fā)癥,其中9例(5.56%)發(fā)生遲發(fā)性出血。年齡60歲的患者并發(fā)癥發(fā)生率(3.39%)明顯低于≥60歲患者(13.59%)(P0.05);術(shù)中發(fā)生出血患者的并發(fā)癥發(fā)生率(36.36%)明顯高于術(shù)中未發(fā)生出血患者(7.95%)(P0.05);三種手術(shù)方式術(shù)后并發(fā)癥發(fā)生率比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05);黏膜切除術(shù)(EMR)或黏膜剝離術(shù)(ESD)術(shù)后并發(fā)癥發(fā)生率(23.40%)明顯高于高頻電切除術(shù)(6.17%)(P0.05)。平坦或無蒂息肉中遲發(fā)性出血發(fā)生率(7.69%)明顯高于有蒂(3.45%)及亞蒂息肉(1.13%)(P0.05)。腺瘤遲發(fā)性出血的發(fā)生率(10.39%)明顯高于炎性增生性息肉(1.63%)(P0.05)。結(jié)論患者年齡、術(shù)中出血情況及息肉的形態(tài)、病理分型等與息肉切除術(shù)后并發(fā)癥的發(fā)生有較大關(guān)系,進(jìn)行胃腸息肉切除術(shù)之前應(yīng)根據(jù)息肉的形態(tài)、病理分型等選擇恰當(dāng)?shù)氖中g(shù)方式,有利于減少術(shù)后并發(fā)癥,改善患者預(yù)后。
[Abstract]:Objective to analyze the risk factors of complications after resection of gastrointestinal polyps. Methods A total of 162 patients who underwent gastrointestinal polyposis resection from December 2014 to June 2016 in our hospital were investigated and analyzed, including related factors, polyp related factors and surgical treatment, and the risk factors of postoperative complications were studied. Results 16 cases (9.88%) of 162 patients underwent gastrointestinal polyposis resection and 9 cases (5.56%) had delayed hemorrhage. The incidence of complications in patients aged 60 years (3.39%) was significantly lower than that in patients over 60 years (13.59%) (P0.05). The incidence of complications in patients with hemorrhage during operation (36.36%) was significantly higher than that in patients without bleeding (7.95%) (P0.05). The incidence of complications after (EMR) or mucosal dissection (23.40%) was significantly higher than that of high-frequency electroresection (6.17%) (P0.05). The incidence of delayed hemorrhage in flat or unpedicled polyps (7.69%) was significantly higher than that in pedicle polyps (3.45%) and subpedicle polyps (1.13%) (P0.05). The incidence of late hemorrhage in adenoma (10.39%) was significantly higher than that in inflammatory proliferative polyps (1.63%) (P0.05). Conclusion the age of the patients, the bleeding during operation, the morphology of polyps, the pathological types and so on are related to the occurrence of complications after resection of polyps, and should be based on the morphology of polyps before resection of gastrointestinal polyps. Pathological classification and other appropriate surgical methods are helpful to reduce postoperative complications and improve the prognosis of patients.
【作者單位】： 江蘇省宜興市人民醫(yī)院消化科;
【分類號(hào)】：R656

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