息肉电凝切除术后综合征回顾分析

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1、息肉电凝切除术后综合征回顾分析息肉电凝切除术后综合征回顾分析成都市第三人民医院消化科邮编610031袁德强史维孙晓滨吴立平农春燕奚维东背景介绍:息肉电凝切除术后综合征(Postpolypectomycoagulationsyndrome)为临床少见并发症，国外文献报道其发生率约0.51--1.2%[1,2]，易误诊为肠穿孔，经保守治疗可完全痊愈，该并发症国内外报道不多，我们总结了近5年来我院2236例行肠道息肉电凝切除术病员，其中发生息肉电凝切除术后综合征7例，分析其相关因素，并探讨预防并发症的方法。[摘要]目的：分析息肉电

2、凝切除术后综合征(Postpolypectomycoagulationsyndrome)的临床特点及治疗对策。方法：回顾分析我院2000年1月-2005年12月行肠道息肉电凝切除术病人2236例，其中发生息肉电凝切除术后综合征7例，分析其临床资料,治疗过程,并发症相关因素。结果：本组中息肉电凝切除术后综合征发生率为0.31%，共7例，临床特征为术后出现局限性腹痛，腹部肌紧张，反跳痛等局部腹膜炎体征，部分患者出现发热、白细胞升高。全部病人均经禁食、补液、抗感染，卧床休息1-2天后症状完全缓解。7例患者息肉类型,大小,电凝时间等

3、因素各不相同,多数通电时间较长。结论：息肉电凝切除术后综合征为少见并发症，易误诊为肠穿孔，经保守治疗可完全痊愈，应避免不必要的外科手术，病变的发生与多种因素有关，切除息肉时选择适当电流强度及通电时间，注意手术技巧等可能避免并发症的发生。[关键词]结肠息肉；息肉电凝切除术后综合征；RetrospectiveanalysisofpostpolypectomycoagulationsyndromeDe-QiangYuan,WeiShi,Xiao-binSun,Li-PingWu,Chun-YanNong,Wei-DongXi.De

4、partmentofGastroenterology,ThirdMunicipalHospitalOfChengdu,Chengdu610031,China[Abstract]Aims:Toanalyzetheclinicalcharacteristicsandtreatmentstrategyofpostpolypectomycoagulationsyndrome.Methods:2236patientswhoreceivedcolonicpolypectomyfromJanuary2000toDecember2005we

5、reretrospectivelyanalyzed,7patientsweredignosedwithpostpolypectomycoagulationsyndromeamongthesepatients,theclinicaldata,treatmentprocedureandcomplicationcorrelatedfactorswereanalyzedrespectively.Results:theincidencerateofpostpolypectomycoagulationsyndromeis0.31%ino

6、urresearchgroup,clinicalfeaturesarelocalizedabdominalpain,tendernessandsometimesguarding,feverandleukocytosiscanbeseeninsomepatients,allsymptomsdisappearedafter1-2days'treatmentofbedrest,nothingbymouth,intravenousantibioticsandfluidtransfusion.Thevarianceintheterms

7、ofpolypustype,size,durationofapplicationaredifferent,mostofthedurationarelongerinthose7patients.Conclusion:postpolypectomycoagulationsyndromeisararecomplication,sometimesitcanbemisdiagnosedasperforation,Surgeryshouldbeavoidedbecauseofthegoodprognosisafterconservati

8、vetreatment.thesyndromemaybecorrelatedwithmultiplefactors,tominimizetheriskofcomplicationoccurrence,cautioustechniqueshouldbeused,thedurationofap