文章摘要
李培培,王宇晴,倪 永,沙林玉,于莲珍.结直肠息肉内镜下黏膜切除术后出血的危险因素分析[J].南京医科大学学报,2019,(3):360~364,374
结直肠息肉内镜下黏膜切除术后出血的危险因素分析
Risk factors for postpolypectomy bleeding after endoscopic mucosal resection
投稿时间:2018-05-15  
DOI:10.7655/NYDXBNS20190309
中文关键词: 内镜下黏膜切除术  息肉切除  出血  结直肠息肉  危险因素
英文关键词: endoscopic mucosal resection  polypectomy  bleeding  colorectal polyps  risk factors
基金项目:
作者单位
李培培 南京医科大学第一附属医院消化科江苏 南京 210029 
王宇晴 南京医科大学第一附属医院消化科江苏 南京 210029 
倪 永 南京医科大学第一附属医院消化科江苏 南京 210029 
沙林玉 南京医科大学第一附属医院消化科江苏 南京 210029 
于莲珍 南京医科大学第一附属医院消化科江苏 南京 210029 
摘要点击次数: 37
全文下载次数: 44
中文摘要:
      目的:消化道出血是结直肠息肉切除术后最常见的并发症,本研究探讨结直肠息肉内镜下黏膜切除(endoscopic mucosal resection,EMR)术后出血的相关危险因素。方法:回顾性分析111例结直肠息肉EMR术后出血的患者和176例未出血患者的临床资料。结果:单因素分析显示,共有5个变量对结直肠息肉EMR术后出血的影响有统计学意义,分别为男性(P=0.008)、息肉数目(≥3枚)(P=0.001)、息肉直径(≥10 mm)(P < 0.001)、息肉分布部位(右半结肠)(P=0.036)、抗栓药的使用(P=0.015)。对上述5个变量及高血压(P < 0.1)、病理类型(腺瘤)(P < 0.1)进行多变量Logistic回归分析,其中男性、息肉直径(≥10 mm)、息肉数目(≥3枚)为结直肠息肉EMR术后出血的独立危险因素(P < 0.05)。结论:男性、息肉直径(≥10 mm)、息肉数目(≥3枚)为EMR息肉切除术后出血的独立危险因素,临床上应多加注意,以预防术后出血的发生。
英文摘要:
      Objective:Alimentary tract hemorrhage is the most frequent complication after colonoscopic polypectomy. The aim of this study was to identify the risk factors for postpolypectomy bleeding(PPB)after endoscopic mucosal resection(EMR). Methods:We retrospectively reviewed the clinical data of 111 patients who experienced PPB after EMR and 176 patients who did not. Results:Univariate logistic regression analysis showed that gender(male,P=0.008),numbers of polyps removed(≥3 polyps,P=0.001),polyp’ diameter(≥10 mm,P < 0.001),location(right colon,P=0.036),use of antithrombotic drug(P=0.015)were significantly correlated with PPB. Above factors,hypertension(P < 0.1)and pathological type(adenoma,P < 0.1)were analyzed by multivariate logistic regression,and only gender(male),polyps’ diameter(≥10 mm)and numbers of polyps removed(≥3 polyps)were significantly associated with PPB after EMR. Conclusion:Gender(male),polyps’ diameter(≥10 mm)and polyp number(≥3 polyps)are significantly associated with PPB after EMR,and we should pay more attention to these factors for preventing PPB
查看全文   查看/发表评论  下载PDF阅读器
关闭