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[1]张凯军,罗毓铭.内镜下大肠息肉切除术后迟发性出血的危险因素分析[J].分子影像学杂志,2017,(02):129.
 ZHANG Kaijun,LUO Yuming.Risk factors of delayed bleeding after endoscopic resection of colorectal polyps[J].,2017,(02):129.
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内镜下大肠息肉切除术后迟发性出血的危险因素分析(PDF)
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《分子影像学杂志》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2017年02期
页码:
129
栏目:
出版日期:
2017-04-20

文章信息/Info

Title:
Risk factors of delayed bleeding after endoscopic resection of colorectal polyps
作者:
张凯军12罗毓铭3
广东省医学科学院//广东省人民医院1消化内科;2广东省老年医学研究所,广东 广州 510080;3南方医科大学 第一临床医学院,广东 广州 510515
Author(s):
ZHANG Kaijun12 LUO Yuming3
1Department of Gastroenterology; 2Guangdong Institute of Geriatric Medicine, Guangdong General Hospital and Guangdong Academy of Medical Sciences, Guangzhou 510080, China; 3the First Clinical College, Southern Medical University, Guangzhou 510515, China
关键词:
息肉切除迟发性出血危险因素大肠镜
Keywords:
polypectomy delayed bleeding risk factors colonoscopy
分类号:
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DOI:
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文献标志码:
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摘要:
目的 研究内镜下大肠息肉切除术后迟发性出血的危险因素。 方法 选择2013年7月~2015年6月在我院行内镜下大肠 息肉切除术的3157例患者,并对其相关危险因素、息肉相关因素及治疗方式等进行调查分析,同时测定各患者的舒张压、收 缩压、息肉直径等指标,根据分析结果筛选出术后迟发性出血的危险因素。 结果 3157例患者中有27例产生了术后迟发性出 血症状,发生率为0.86%,迟发性出血多发生在息肉切除后的5~7 d后,平均为5.9±1.8 d,平均年龄为57.8±3.4岁,息肉平均的直 径为32.1±3.7 mm。经单因素分析显示,与未出血患者相比,出血患者的高血压、年龄、息肉直径及形态、息肉生长位置有显著 差异(P<0.05),即为此类症状的危险因素。将危险因素进行多因素回归分析,结果显示高血压、年龄、息肉生长位置为此类症 状的独立危险因素(P<0.05)。 结论 高血压、年龄、息肉生长位置为术后迟发性出血的独立危险因素,临床应给予针对性预防 措施。
Abstract:
Objective To study the risk factors and prevention strategies of endoscopic resection of colorectal polyps delayed bleeding. Methods A total of 3157 patients who cured in my hospital endoscopic resection of colorectal polyps from July 2013 to June 2015 were chosed. Then we investigated the patient-related factors, the polyps related factors and some other relevant factors, at the same time.We measured each patient’s diastolic blood pressure, systolic blood pressure and polyp diameter.Risk factors of delayed postoperative bleeding were screened and prevention measures summarized. Results Delayed bleeding occurred in 27/3157 patients (0.86%). Delayed bleeding was identified from 5 to 7 days after resection (mean, 5.9±1.8 days). The mean age was 57.8±3.4 years, and the average polyp size was 32.1±3.7 mm.Univariate analysis showed that, compared with the patient who was not bleeding, bleeding patients with high blood pressure, age, polyps diameter and shape were significant different (P<0.05). The multivariate regression analysis showed that high blood pressure, age, polyps position were independent risk factors (P<0.05). Conclusion High blood pressure, age, polyps position are independent risk factor for postoperative delayed bleeding, clinical should focus attention.

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更新日期/Last Update: 1900-01-01