Analysis of the risk factors of bleeding after endoscopic resection of colorectal polyps
10.3969/j.issn.1007-1989.2017.02.015
- VernacularTitle:结直肠息肉经内镜摘除术后并发出血的危险因素分析
- Author:
Qin PENG
- Keywords:
colorectal polyps;
endoscopic resection;
concurrent hemorrhage;
risk factors
- From:
China Journal of Endoscopy
2017;23(2):62-65
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors of bleeding after endoscopic resection of colorectal polyps.Methods 342 cases of colorectal polyps treated by endoscopic surgery in our hospital were taken as the research objects. The incidence of bleeding after endoscopic surgery was statistically studied. All the patients were divided into bleeding group and no hemorrhage group, with postoperative bleeding as the dependent variable, and related factors which may be induced postoperative bleeding (gender, age, diabetes mellitus, with hypertension and hyperlipidemia history, drinking history, polyp occurrence location, polyp pathology type, polyp size, morphology of colonic polyps, polyp number) as the independent variable to make advanced single factor regression analysis. Then using the logistic regression analysis tool for multivariate analysis.Results The incidence of postoperative bleeding was 7.60% (26/342) in 342 patients. Single factor analysis showed that the bleeding in the proportion of patients with hypertension was higher than that of without complication (P < 0.05), with history of high blood lipid ratio is higher than that of without complication (P < 0.05) and polyp diameter >2.0 percentage higher than that without complication (P < 0.05) and polyp morphology with pedunculated polyps proportion is higher than that without complication (P < 0.05). Multivariate analysis showed that the risk factors for bleeding after endoscopic resection of colorectal polyps were high blood pressure, high blood fat, polyp diameter >2.0 cm, and polyps were the risk factors of postoperative hemorrhage (P < 0.05).Conclusion The risk factors of bleeding after endoscopic resection of colorectal polyps, including hypertension, high blood fat, polyp diameter >2.0 cm, polyp morphology of pedicle polyps.
