Clinical Effect of Titanium Clip Pre-pedicle Ligation Combined with High-frequency Electrotomy in the Treatment of Colorectal Pedunculated Polyps
YAN Jing,ZHANG Si-ou,PI Zhi-xuan
Endoscope Center, Wuxing District Hospital of Integrated Traditional Chinese and Western Medicine, Huzhou 313000,China
Abstract:
Objective To observe the clinical effect of preliminarily ligating the polyp pedicle with a titanium clip during endoscopic resection of the pedicled polyp of the large intestine to prevent bleeding. Methods A total of 370 patients with intestinal polyps diagnosed by endoscopy in our hospital from June 2017 to July 2020 were randomly divided into test group ( 182 cases, 198 polyps) and control group ( 188 cases, 222 polyps). The test group was ligated with titanium clip in the pedicle of polyp, and then treated with high-frequency electric resection combined with TCM syndrome differentiation. The control group was treated with high-frequency electric resection combined with TCM syndrome differentiation, and followed up for 3-9 months after operation. The postoperative pathology, intraoperative and postoperative bleeding, perforation difference and wound healing were analyzed. Results The colorectal polyps of both groups were completely removed. There was no statistically significant difference in pathological diagnosis and classification after operation. In the test group, there was no intraoperative bleeding, perforation, no delayed postoperative perforation and 1 case (0.55%) with postoperative blood in the stool. In the control group, 8 cases (4.26%) had intraoperative bleeding, no delayed postoperative perforation and 14 cases (7.45%) had blood in the stool after operation. The incidence of complications such as intraoperative bleeding and postoperative blood in the stool in the test group was lower than that in the control group, which the difference was statistically significant. Conclusion Preliminary ligation of pedicled colorectal polyps with a titanium clip at the polyp pedicle is more advantageous to prevent bleeding, which improves the endoscopic resection rate of large polyps and significantly reduces the risk of bleeding and perforation in endoscopic treatment. Its safety and effectiveness is worthy of recognition.
