CAJ | 학술논문

目的探讨结直肠息肉经内镜下摘除后并发急诊出血的危险因素及处理措施.方法对2004年11月至2009年11月行内镜下结直肠息肉摘除术的313例患者的临床资料进行回顾性分析.采用SPSS 16软件进行二元Logistic回归分析.结果 313例结直肠息肉患者行内镜下息肉摘除术,共摘除息肉373颗.其中11例急诊出血,出血率为3.5％.回归分析结果显示内镜下结直肠息肉摘除后急诊出血的独立危险因素是高血压(P＜0.01),而与患者的性别、年龄、息肉大小、息肉形态、病理类型和摘除方式无关(P＞0.05).结论高血压是结直肠息肉摘除后出血的独立危险因素.
목적 탐토결직장식육경내경하적제후병발급진출혈적위험인소급처리조시.방법 대2004년11월지2009년11월행내경하결직장식육적제술적313례환자적림상자료진행회고성분석.채용SPSS 16연건진행이원Logistic회귀분석.결과 313례결직장식육환자행내경하식육적제술,공적제식육373과.기중11례급진출혈,출혈솔위3.5％.회귀분석결과현시내경하결직장식육적제후급진출혈적독립위험인소시고혈압(P＜0.01),이여환자적성별、년령、식육대소、식육형태、병리류형화적제방식무관(P＞0.05).결론 고혈압시결직장식육적제후출혈적독립위험인소.
Objective To explore the risk factors in post-polypectomy hemorrhage in rectum and to discuss the appropriate interventions.Methods A total of 313 patients with 373 polypi were included in this study. The clinical data were analyzed by SPSS 16 software. Results There were 313 patients with colorectal polypus curatively resected and 373 polypi in total.There were 11 (3.5％) patients subjected to post-polypectomy hemorrhage in rectum.Regression analysis showed that the independent risk factor of postpolypectomy hemorrhage in rectum was the hypertension of patients (P ＜ 0.01 ) and this hemorrhage had no significant correlations with patientg'ender,age,size of polypus,pathological characteristics and the methods of polypectomy.Conclusions Hypertension of patients is an independent risk factor in post-polypectomy hemorrhage.