内镜下黏膜剥离术治疗消化道病变术后延迟出血危险因素分析

doi:10.3969/j.issn.1001-8131.2024.01.030

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (420 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the risk factors of delayed bleeding after endoscopic submucosal dissection（ESD）for digestive tract lesions. Methods Clinical data of 160 patients with digestive tract lesions treated with ESD were retrospectively analyzed,and relevant clinical,endoscopic and pathological data of the patients were analyzed.Patients were divided into bleeding group and non-bleeding group according to whether delayed bleeding occurred.The above data were compared between the two groups,and the risk factors of delayed bleeding after ESD were summarized. Results There was no significant difference between the two groups in terms of age,gender,complications,and whether they had taken anticoagulant drugs in the past（P>0.05）.The size of lesions and the proportion of surface ulcers in bleeding group were higher than those in non-bleeding group（P<0.05）.Total resection of the two groups was compared（P>0.05）.The operation time and the proportion of obvious bleeding in the bleeding group were higher than those in the non-bleeding group（P<0.05）.Lesion size,surface ulcers,operation time and obvious bleeding during operation were all related factors affecting delayed bleeding after digestive tract lesions（P<0.05）. Conclusions Patients with digestive tract lesions with large lesions,surface ulcers,long operation time and obvious bleeding during operation have higher risk of postoperative delayed bleeding,and should be treated as soon as possible.

Key words： ESD digestive tract lesions delayed bleeding

Received: 20 February 2023

PACS:

R734.2

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Liu Weihua
	Jiang Haibo

Cite this article:

Liu Weihua,Jiang Haibo. Analysis of Risk Factors of Delayed Bleeding after Endoscopic Submucosal Dissection for Digestive Tract Lesions[J]. journal1, 2024, 44(1): 89-91.

URL:

http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2024.01.030 OR http://www.hrbyybjb.org.cn/EN/Y2024/V44/I1/89

[1] 郜玉兰,曹梦.早期胃癌内镜黏膜下剥离术前评估[J].现代消化及介入诊疗,2020,25(10):1316-1320.
[2] 郭艳,夏洪芬,龚雪梅,等.消化内镜黏膜剥离术联合治疗性沟通系统在消化道黏膜下隆起性病变中的临床研究[J].川北医学院学报,2019,34(6):820-824.
[3] 陆友祝,余超,孙玉立,等.内镜黏膜下剥离术后是否追治疗对早期胃癌疗效的影响[J].消化肿瘤杂志(电子版),2019,11(3):277-281.
[4] 王海波,刘延军,陈树伟,等.兰索拉唑治疗内镜黏膜下剥离术诱发胃溃疡4周与8周疗效的随机对照比较[J].中国生化药物杂志,2016,36(9):54-57.
[5] 李心群,陈心怡,王欣璐,等.危险性上消化道出血患者病情严重程度危险因素分析及预警评估模型构建[J].中华急诊医学杂志,2022,31(4):539-543.
[6] 韩凤,牛欢,梁立秋,等.急诊青年上消化道出血患者预后不良的预测因素[J].中华急诊医学杂志,2022,31(9):1255-1261.
[7] 吴大鹏,孙仁虎,肖君,等.隧道法内镜下黏膜下剥离术治疗食道黏膜下肿瘤的临床价值[J].现代生物医学进展,2020,20(24):4776-4779,4746.
[8] 奉镭,黄家遂,李艳霞,等.11例内镜下黏膜剥离术后并发肺炎患者情况分析[J].中国消毒学杂志,2017,34(12):1187-1188.
[9] Kim HS,KimTI,KimWH,et al.Risk factors for immediatepostpolypectomy bleeding of the colon:a multi -center study[J].Am J Gastroenterol,2006,101(6):1333-1341.
[10] 胡振华,赵素贞,张俊莉,等.胃镜喉罩用于上消化道内镜黏膜下剥离术患者气道管理的效果[J].中华麻醉学杂志,2017,37(8):1021-1022.
[11] 王海波,刘绪琼,庹必光,等.内镜黏膜下剥离术治疗消化道病变29例分析[J].遵义医学院学报,2012,35(2):141-144.
[12] 尧登华. 内镜黏膜下剥离术的临床应用进展[J].西南国防医药,2010,20(2):215-217.
[13] 杨敏,李会玲,赵民艳.112例内镜黏膜下剥离术治疗早期胃黏膜下肿瘤的回顾性研究[J].实用癌症杂志,2020,35(1):104-108.
[14] 林建姣,刘艳,许育君,等.血清miR-188-3p诊断胃癌的临床价值研究[J].现代消化及介入诊疗,2020,25(8):1115-1118.
[15] 孙凤玲,薛妞艳,魏振海.内镜黏膜下剥离手术对胃癌患者下肢深静脉血栓及凝血功能的影响[J].血栓与止血学,2020,26(4):651-652.
[16] 秦昂,陈一飞,胡英斌.超声内镜联合窄带成像及放大内镜技术对早期大肠肿瘤性病变诊治与分期的临床应用研究[J].中国现代手术学杂志,2020,24(5):337-341.
[17] 马丹,邵琳琳,刘娟,等.阑尾腔内息肉内镜下治疗的初步观察[J].中华消化内镜杂志,2022,39(5):408-410.
[18] 隗永秋,周巧直,李鹏,等.内镜下治疗非壶腹部早期十二指肠癌的疗效分析[J].中华消化内镜杂志,2022,39(5):394-398.
[19] 杨代兰,朱林林,朱肖男,等.食管癌多学科诊疗模式初探[J].四川医学,2019,40(4):383-389.