内科

目的探讨冷圈套息肉切除术（CSP）在6～15 mm胃息肉治疗中的效果。方法将安徽省天长市天康医院2022年3月至2024年7月收住入院的6～15 mm胃息肉患者100例随机分为两组：观察组50例，采用CSP治疗胃息肉；对照组50例，采用内镜下黏膜切除术（EMR）治疗胃息肉。比较两组息肉完整切除率、术中出血率、术后清醒时疼痛视觉模拟量表（VAS）评分、息肉切除操作时间、住院时间、住院费用，以及术后并发症发生率。结果观察组息肉完整切除率和术后并发症发生率与对照组相比，差异均无统计学意义（均P>0.05）；观察组术中出血率较对照组高，术后但清醒时疼痛VAS评分低于对照组，息肉切除操作时间和住院时间均短于对照组，住院费用低于对照组（均P<0.05）。结论在6～15 mm胃息肉治疗中，CSP所需息肉切除操作时间和住院时间短、住院费用低、术后清醒时疼痛较轻、对手术者操作技术要求低，且手术安全性高。

Objective To explore the effect of cold snare polypectomy (CSP) in the treatment of 6-15 mm gastric polyps. Methods A total of 100 patients with 6-15 mm gastric polyps admitted to Tiankang Hospital of Tianchang City, Anhui Province, from March 2022 to July 2024 were randomly divided into two groups: 50 cases in the observation group were treated with CSP for gastric polyps, 50 cases in the control group were treated with endoscopic mucosal resection (EMR) for gastric polyps. The complete resection rate of polyps, intraoperative bleeding rate, Visual Analog Scale (VAS) score for pain assessment at postoperative awakening, operation time for polyps excision, hospital stay, hospitalization cost, and incidence of postoperative complications were compared between the two groups. Results There was no statistically significant difference in the complete resection rate of polyps or the incidence of postoperative complications between the observation group and the control group (all P>0.05). The intraoperative bleeding rate in the observation group was higher than that in the control group, but the VAS score for pain at postoperative awakening was lower than that in the control group, the operation time for polyps excision and hospital stay were shorter than those in the control group, and the hospitalization cost was lower than that in the control group (all P<0.05). Conclusion In the treatment of 6-15 mm gastric polyps, CSP has the advantages of shorter operation time for polyps excision and hospital stay, lower hospitalization cost, milder pain at postoperative awakening, lower requirements for operators' technical skills, and high surgical safety.

ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref
ref