论文部分内容阅读
目的:比较尼龙绳和钛夹在预防大肠宽蒂息肉切除后出血的疗效和安全性的比较。方法:从2005年1月至2011年9月连续选择155例患大肠宽蒂息肉和有蒂且顶部直径大于10mm息肉的患者。随机分为3组。A组(53例),将尼龙绳套扎息肉的基底部,然后使用常规的套圈器进行息肉电切术。B组(52例),使用常规的套圈器进行息肉电切术,然后残端使用钛夹缝合。C组(50例),使用常规的套圈器进行息肉电切术。结果:所有息肉均成功摘除。A组和B组1例出血;C组5例出血,其中1例需要手术干预。结论:大肠宽蒂息肉常规圈套器进行息肉电切术具有较大的出血风险;尼龙绳和钛夹对内镜下切除大肠宽蒂息肉术后出血具有良好的预防作用。
OBJECTIVE: To compare the efficacy and safety of nylon ropes and titanium clips in the prevention of bleeding after resection of large intestine polyps. METHODS: From January 2005 to September 2011, 155 consecutive patients with large polyps and pedunculated polyps larger than 10 mm in diameter were selected in succession. Randomly divided into 3 groups. In Group A (n = 53), the nylon cord was ligated to the basal part of the polyp and then subjected to polypectomy using a conventional ferrule. Group B (n = 52) underwent polypotomy with a conventional ferrule and stump sutured using a titanium clip. Group C (50 cases), the use of conventional ferrule polyp resection. Results: All polyps were successfully removed. One patient in group A and B hemorrhage; 5 patients in group C hemorrhage, of which 1 required surgical intervention. CONCLUSION: Polyps resection with large intestine polyps conventional snare has a greater risk of bleeding. Nylon cords and titanium clips have a good preventive effect on endoscopic resection of large polyps.