结直肠息肉经内镜摘除术后并发出血的危险因素分析

发布时间：2018-12-14 11:54

【摘要】：目的分析结直肠息肉经内镜摘除术后并发出血的危险因素。方法以该院收治的342例行内镜摘除术治疗的结直肠息肉患者为研究对象,统计该组患者经内镜摘除术后并发出血的发生率。并将该组患者分为并发出血组和未并发出血组,以术后并发出血为因变量,以可能诱发患者术后出血的相关因素(性别、年龄、合并糖尿病、合并高血压、高血脂史、饮酒史、息肉发生位置、息肉病理分型、息肉大小、息肉形态和息肉数量)为自变量,先进行单因素回归分析,再运用Logistic回归分析工具进行多因素分析。结果该组342例患者术后并发出血的发生率为7.60%(26/342)。单因素分析结果显示,并发出血组患者合并高血压者比例高于未并发者(P0.05),合并高血脂史者比例高于未并发者(P0.05),息肉直径2.0 cm者比例高于未并发者(P0.05),息肉形态有蒂息肉者比例高于未并发者(P0.05)。多因素分析结果显示,高血压、合并高血脂、息肉直径2.0 cm、息肉形态有蒂息肉均为结直肠息肉经内镜摘除术后并发出血的危险因素(P0.05)。结论结直肠息肉经内镜摘除术后并发出血的危险因素包括高血压、合并高血脂、息肉直径2.0 cm、息肉形态为有蒂息肉。
[Abstract]:Objective to analyze the risk factors of bleeding after endoscopic excision of colorectal polyps. Methods 342 patients with colorectal polyps treated by endoscopic excision in our hospital were studied. The incidence of bleeding after endoscopic excision was counted. The patients in this group were divided into two groups: complicated bleeding group and non-complicated bleeding group. With postoperative hemorrhage as dependent variable, the related factors (sex, age, diabetes, hypertension, hyperlipidemia, alcohol consumption) were induced. The location of polyp, pathological type, size, morphology and number of polyps were independent variables. Univariate regression analysis was carried out first, and then multivariate analysis was carried out with Logistic regression analysis tool. Results the incidence of postoperative hemorrhage was 7.60% (26 / 342). The results of univariate analysis showed that the proportion of patients complicated with hypertension was higher than that of patients without hyperlipidemia (P0.05), and the proportion of patients with history of hyperlipidemia was higher than that of patients without hyperlipidemia (P0.05). The proportion of polyp diameter 2.0 cm was higher than that of non-complicated polyps (P0.05), and the proportion of polyps with pedicled polyps was higher than that of non-complicated polyps (P0.05). Multivariate analysis showed that hypertension, hyperlipidemia and 2.0 cm, polyp diameter were risk factors for bleeding after endoscopic excision of colorectal polyps (P0.05). Conclusion the risk factors of bleeding after endoscopic excision of colorectal polyps include hypertension, hyperlipidemia, and the diameter of the polyps is 2.0 cm, the shape of the polyps is pedicled polyps.
【作者单位】：湖北省宜昌市第二人民医院消化内镜科;
【分类号】：R735.3

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