【摘要】 目的 探讨冷圈套息肉切除术(CSP)对于内镜下<10 mm大肠微/小息肉的疗效与安全性。方法 选取2021年9月至2022年12月赣州市人民医院消化内镜中心收治的213例大肠微/小息肉患者作为研究对象，使用简单随机分组方法分为CSP组(105例)和热凝电切除(HSP)组108例。比较手术完整切除率、标本回收率、手术时间、手术费用及患者术后出血率、术后穿孔率和术后感染率。结果 CSP组手术费用低于HSP组，手术时间短于HSP组，差异有统计学意义(P<0.05)；两组息肉完整切除率和标本回收率比较，差异无统计学意义(P>0.05)；两组患者术中出血率比较，差异无统计学意义(P>0.05);CSP组术后出血率低于HSP组，差异有统计学意义(P<0.05)；两组患者均未出现术中肠穿孔、术后肠穿孔及术后感染情况。结论 对于<10 mm的大肠微/小息肉，选择CSP术，手术费用低、手术耗时短、术后并发症发生更少，CSP治疗方法值得临床选择。更多还原

【Abstract】 Objective To investigate the efficacy and safety of cold snare polypectomy(CSP) for endoscopic large intestine micro/small polyps <10 mm. Methods A total of 213 patients with micro/small large intestine polyps admitted to the Digestive Endoscopy Center of Ganzhou People’s Hospital from September 2021 to December 2022 were selected as research objects, and were divided into CSP group(105 cases) and thermocoagulation electroresection(108 cases) group by simple randomization method. The complete resection rate, specimen recovery, operation time, operation cost, postoperative bleeding rate, postoperative perforation rate and postoperative infection rate were compared. Results The operation cost in CSP group was lower than that in HSP group, and the operation time was shorter than that in HSP group, the differences were statistically significant(P<0.05). There was no significant difference in complete polyp removal rate and specimen recovery rate between the two groups(P>0.05). There was no significant difference in the intraoperative bleeding rate between the two groups(P>0.05). The postoperative bleeding rate of CSP group was lower than that of HSP group, and the difference was statistically significant(P <0.05). No intraoperative intestinal perforation, postoperative intestinal perforation or postoperative infection occurred in two groups. Conclusion For micro/small polyps of large intestine<10 mm, CSP surgery has lower operation cost, shorter operation time and less postoperative complications. Therefore, the CSP group has better efficacy, higher efficiency and better safety.更多还原