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首页> 外文期刊>Endoscopy International Open >Usefulness of cold polypectomy under linked color imaging
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Usefulness of cold polypectomy under linked color imaging

机译：链接颜色成像下冷膜切除术的有用性

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Background and study aims?Cold polypectomy is becoming popular for treatment of colon polyps due to its safety and convenience, but there is still the problem of tumor remnants. Because linked color imaging (LCI) improves polyp visibility, cold polypectomy under LCI is anticipated to reduce the tumor remnant rate. Therefore, we investigated the usefulness of this procedure. Patients and methods?Fifty patients scheduled to undergo cold polypectomy for treatment of colon polyps ?10?mm and assumed to be adenomas were registered prospectively. After performing cold snare polypectomy (CSP) under LCI, biopsy was performed at two resection margin sites for each polyp to determine the tumor remnant rate. Results?A total of 145 lesions were treated by CSP. Of the 139 lesions in which polyps were retrievable and diagnosed as adenomas pathologically, one lesion was recognized as a remnant adenoma on biopsy (remnant rate: 0.7?% [95?% CI: 0.0–4.4]). This remnant rate was extremely low. Treatment results were extremely promising given that en bloc resection, post-procedure bleeding, and perforation rates were 100?%, 0?%, and 0?%, respectively. Conclusion?Cold snare polypectomy under LCI may be an effective treatment method capable of reducing the tumor remnant rate. This trial was approved by our Institutional Ethics Committee and registered at the University Hospital Medical Information Network (UMIN 000033690).
机译：背景和学习目标？由于其安全性和便利性，冷息肉切除术正在成为对结肠息肉的处理，但仍存在肿瘤残余的问题。由于连接的彩色成像（LCI）提高了息肉可视性，因此预计LCI下的冷膜切除术可降低肿瘤残余率。因此，我们调查了这个程序的有用性。患者和方法？50例患者预定要接受冷息肉切除术治疗结肠息肉<10？mm并假定是前瞻性登记的腺瘤。在LCI下进行冷腹肌肌瘤切除术（CSP）后，在两次切除脊髓纸位点进行活组织检查，以确定肿瘤残留率。结果？CSP共治疗了145个病变。在可病理上可检索和诊断为腺瘤的139个病变中，一个病变被认为是活组织检查的残余腺瘤（残余率：0.7？％[95'％CI：0.0-4.4]）。这种残余率极低。鉴于En Choc切除，术后出血和穿孔率分别为100μl％，0μl和0倍，治疗结果非常有前途。结论？LCI下的冷圈细菌切除术可以是能够降低肿瘤残留率的有效治疗方法。本次审判经我们的制度伦理委员会批准，并在大学医疗信息网络（UMIN 000033690）。

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