胃肠息肉切除术后发生并发症的危险因素分析

发布时间：2018-11-20 04:03

【摘要】：目的分析胃肠息肉切除术后发生并发症的危险因素。方法对2014年12月~2016年6月于我院行胃肠息肉切除手术的162例患者进行调查分析,包括患者相关因素、息肉相关因素及手术治疗方式等,研究术后并发症的危险因素。结果 162例行胃肠息肉切除术患者中16例(9.88%)发生相关并发症,其中9例(5.56%)发生迟发性出血。年龄60岁的患者并发症发生率(3.39%)明显低于≥60岁患者(13.59%)(P0.05);术中发生出血患者的并发症发生率(36.36%)明显高于术中未发生出血患者(7.95%)(P0.05);三种手术方式术后并发症发生率比较,差异有统计学意义(P0.05);黏膜切除术(EMR)或黏膜剥离术(ESD)术后并发症发生率(23.40%)明显高于高频电切除术(6.17%)(P0.05)。平坦或无蒂息肉中迟发性出血发生率(7.69%)明显高于有蒂(3.45%)及亚蒂息肉(1.13%)(P0.05)。腺瘤迟发性出血的发生率(10.39%)明显高于炎性增生性息肉(1.63%)(P0.05)。结论患者年龄、术中出血情况及息肉的形态、病理分型等与息肉切除术后并发症的发生有较大关系,进行胃肠息肉切除术之前应根据息肉的形态、病理分型等选择恰当的手术方式,有利于减少术后并发症,改善患者预后。
[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.
【作者单位】：江苏省宜兴市人民医院消化科;
【分类号】：R656

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