| 张建海.结肠镜息肉切除术后迟发性出血相关因素分析张建海 浙江省诸暨市第二人民医院 肛肠外科 (诸暨311811)[J].浙江中西医结合杂志,2018,28(6): |
| 结肠镜息肉切除术后迟发性出血相关因素分析张建海 浙江省诸暨市第二人民医院 肛肠外科 (诸暨311811) |
| Analysis of related factors of delayed hemorrhage after colonoscopy polypectomy |
| 投稿时间：2017-12-29 修订日期：2017-12-29 |
| DOI： |
| 中文关键词: 结直肠息肉 迟发性出血 结肠镜 危险因素 |
| 英文关键词:Colonoscopy Polyps Delayed hemorrhage Risk factors |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨结肠镜息肉切除术后迟发性出血的相关危险因素,以为该病的防治提供依据。方法 选择2012年1月-2017年8月期间我院收治的1090例结直肠息肉患者为研究对象,予结肠镜息肉切除术治疗,观察迟发性出血的发生情况,并对相关因素进行统计学分析。结果 本组1090例结直肠息肉患者发生迟发性出血11例,发生率1.01%；单因素分析显示,结肠镜息肉切除术后迟发性出血的发生与年龄、高血压、位置、直径、形态有关(P＜0.05)；Logistic回归分析,结果显示年龄(≥60岁)、息肉位置(右半结肠)、息肉大小(≥2cm)为结肠镜息肉切除术后迟发性出血的独立危险因素(P＜0.05)。结论 迟发性出血是结肠镜息肉切除术的严重并发症之一,其发生主要与年龄、息肉位置、息肉大小等因素有关。 |
| 英文摘要: |
| Objective To explore the related risk factors of delayed hemorrhage after polypectomy of colonoscopy, and to provide the evidence for the prevention and treatment of this disease. Methods From January 2013 to August 2017, 1090 patients with colorectal polyps were treated with colonoscopic polypectomy. The occurrence of delayed bleeding was observed, and the related factors were statistically analyzed.Results In this study of 1090 cases of patients with colorectal polyps ,11 cases with delayed hemorrhage, the incidence rate was 1.01%; the single factor analysis showed that after colonoscopic polypectomy delayed hemorrhage associated with age, hypertension, location, diameter, morphology (P < 0.05); Logistic regression analysis showed that age (over 60 years old), position (right colon polyps), polyp size (more than 2cm) was the independent risk factor after colonoscopic polypectomy delayed hemorrhage (P < 0.05). Conclusion Delayed hemorrhage is one of the serious complications of colonoscopy polypectomy, which is mainly related to age, polyp position, polyp size and other factors. |
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