内镜下黏膜切除术和内镜黏膜下剥离术治疗结肠粗蒂性息肉的疗效分析

doi:10.3969/j.issn.1004-583X.2020.04.010

临床荟萃

内镜下黏膜切除术和内镜黏膜下剥离术治疗结肠粗蒂性息肉的疗效分析

1.锦州医科大学研究生学院，辽宁锦州 121000；2.锦州医科大学附属第一医院感染科，辽宁锦州 121000；
3.中国医科大学附属第四医院第一消化内镜科，辽宁沈阳 110000

出版日期:2020-04-20 发布日期:2020-04-16
通讯作者: 邱振宇，Email: qiuzhenyu666@126.com

Curative effect analysis of endoscopic mucosal resection and endoscopic submucosal dissection in treatment of colonic thickpedicled polyps

1.Graduate School of Jinzhou Medical University, Jinzhou 121000, China; 2.Department of Infectious Diseases,
the First Affiliated Hospital of Jinzhou Medical University, Jinzhou 121000, China; 3.Department
of Gastroenterology, the Fourth Affiliated Hospital of China Medical University, Shenyang 110000, China

Online:2020-04-20 Published:2020-04-16
Contact: Corresponding author：Qiu Zhenyu, Email: qiuzhenyu666@126.com

摘要/Abstract

摘要： 目的比较内镜下黏膜切除术（EMR）和内镜黏膜下剥离术（ESD）治疗结肠粗蒂性息肉，分析两种术式的术中及术后疗效，为内镜下诊疗提供参照。方法临床病例随机分组分成EMR组、ESD组，按照随机分组表每组各50例，详细收集病灶大小、出血风险、手术时间、病理切缘阳性率、随访差异等相关临床数据。结果 ESD组手术时间明显长于EMR组（P<0.05），ESD组术中出血（13/50）发生率明显高于EMR组（1/50）。结论对于蒂部直径大于1.0 cm的结肠粗蒂息肉，EMR和ESD均为安全、有效的治疗方法，在操作简易程度和出血概率方面EMR组存在一定的优势。

关键词: 结肠息肉, 内窥镜检查

Abstract: Objective To compare the efficacy of endoscopic mucosal resection(EMR) and endoscopic submucosal dissection(ESD) for the treatment of colonic thickpedicled polyps, to analyze the intraoperative and postoperative effects of these two methods in order to provide a reference for endoscopic diagnosis and treatment.Methods A total of 100 patients were randomly divided into EMR group and ESD group, with 50 cases in each group. The relevant clinical data of two groups were collected, includingthe lesion size, bleeding risk, operation time, positive rate of pathological cutting margin and followup differences. Results The duration of operation in ESD group was significantly longer than that in EMR group (P<0.05), and the incidence of intraoperative bleeding (13/50) in ESD group was significantly higher than that in EMR group (1/50).Conclusion For colonic thickpedicled polyps with a diameter greater than 1.0 cm, both EMR and ESD are safe and effective therapies. And EMR group has certain advantages in ease of operation and bleeding rate.

Key words: colonic polyps, endoscopy

王显岭1，邱振宇2，赵志峰3. 内镜下黏膜切除术和内镜黏膜下剥离术治疗结肠粗蒂性息肉的疗效分析[J]. 临床荟萃, doi: 10.3969/j.issn.1004-583X.2020.04.010.

Wang Xianling1, Qiu Zhenyu2, Zhao Zhifeng3. Curative effect analysis of endoscopic mucosal resection and endoscopic submucosal dissection in treatment of colonic thickpedicled polyps[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2020.04.010.

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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2020.04.010

https://huicui.hebmu.edu.cn/CN/Y2020/V35/I4/335

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内镜下黏膜切除术和内镜黏膜下剥离术治疗结肠粗蒂性息肉的疗效分析

Curative effect analysis of endoscopic mucosal resection and endoscopic submucosal dissection in treatment of colonic thickpedicled polyps

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