摘要
目的分析内镜下黏膜切除术(EMR)治疗结肠息肉患者的术后复发情况及其危险因素。方法回顾性分析2021年3月—2023年8月枣庄市薛城区人民医院收治的120例结肠息肉患者的临床资料,所有患者均行EMR治疗,根据术后复发情况将其分为复发组和未复发组,并收集患者的性别、年龄、病程、高血压、糖尿病、息肉大小、吸烟史、饮酒史、息肉个数、息肉类型、息肉位置及息肉形态等一般资料,采用单因素、多因素分析行EMR治疗的结肠息肉患者术后复发的危险因素。结果120例行EMR治疗的结肠息肉患者,随访1年后有29例复发,复发率为24.17%(29/120);单因素分析显示,两组性别、病程、高血压、糖尿病、吸烟史、饮酒史、息肉类型、息肉位置比较,组间差异无统计学意义(P>0.05);两组年龄、息肉大小、息肉个数、息肉形态比较,组间差异有统计学意义(P<0.05);Logistic回归分析显示,年龄≥60岁、息肉大小>10 mm、息肉个数≥2个、息肉形态为广基均是行EMR治疗的结肠息肉患者术后复发的危险因素(P<0.05)。结论结肠息肉患者行EMR治疗后存在一定的复发风险,与年龄、息肉大小、息肉个数、息肉形态均相关,临床需据此采取针对性干预措施,以降低复发率,改善患者预后。
Objective Analysis of postoperative recurrence situation and risk factors in patients with colon polyps treated with endoscopic mucosal resection(EMR).Methods A retrospective analysis of clinical data of 120 patients with colon polyps admitted to Xuecheng District People's Hospital in Zaozhuang City from March 2021 to August 2023,all patients received EMR treatment and were divided into a recurrence group and a non-recurrence group based on postoperative recurrence,the general data of patients'gender,age,course of disease,hypertension,diabetes,polyp size,smoking history,drinking history,number of polyps,polyp type,polyp location and polyp morphology were collected,and the risk factors of postoperative recurrence of colon polyps treated with EMR were analyzed by single-factor and multi-factor analysis.Results Among 120 patients with colon polyps treated with EMR,29 cases recurred after 1 year of follow-up,with a recurrence rate of 24.17%(29/120);univariate analysis showed that gender,disease duration,hypertension,diabetes,smoking history,drinking history,polyp type and polyp location were compared between the two groups,there were no statistically significant differences between groups(P>0.05);the comparison of age,polyp size,number of polyps,and polyp morphology between two groups,the differences between the groups were statistically significant(P<0.05);Logistic regression analysis showed that age≥60 years,polyp size>10 mm,polyp number≥2,and polyp morphology were all risk factors for postoperative recurrence in colon polyp patients undergoing EMR treatment(P<0.05).Conclusion Patients with colon polyps who undergo EMR treatment have a certain risk of recurrence,which is related to age,polyp size,number of polyps,and polyp morphology,clinically,targeted intervention measures need to be taken based on this to reduce the recurrence rate and improve patient prognosis.
作者
郑文博
ZHENG Wenbo(Department of Gastroenterology,Xuecheng District People's Hospital,Zaozhuang City,Zaozhuang 277000,China)
出处
《反射疗法与康复医学》
2024年第24期107-109,113,共4页
Reflexology And Rehabilitation Medicine
关键词
结肠息肉
内镜下黏膜切除术
复发情况
危险因素
Colon polyps
Endoscopic mucosal resection
Recurrence situation
Risk factor
