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中华胃肠内镜电子杂志 ›› 2025, Vol. 12 ›› Issue (01) : 50 -53. doi: 10.3877/cma.j.issn.2095-7157.2025.01.011

综述

结直肠息肉内镜下冷切除技术的治疗进展
唐佩1, 王翊钊1, 马连君1,()   
  1. 1. 130033 长春,吉林大学中日联谊医院胃肠内科(内镜中心)
  • 出版日期:2025-02-15
  • 通信作者: 马连君
  • 基金资助:
    吉林省技术创新引导国际科技合作项目(20240402018GH)

Treatment progress of endoscopic cold snare polypectomy for colorectal polyps

Pei Tang1, Yizhao Wang1, Lianjun Ma1,()   

  1. 1. Department of Gastroenterology (Endoscopy Center),China-Japan Union Hospital of Jilin University,Changchun 130033,China
  • Published:2025-02-15
  • Corresponding author: Lianjun Ma
引用本文:

唐佩, 王翊钊, 马连君. 结直肠息肉内镜下冷切除技术的治疗进展[J/OL]. 中华胃肠内镜电子杂志, 2025, 12(01): 50-53.

Pei Tang, Yizhao Wang, Lianjun Ma. Treatment progress of endoscopic cold snare polypectomy for colorectal polyps[J/OL]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2025, 12(01): 50-53.

结直肠息肉的内镜下切除术已被证明可显著降低结肠直肠癌(CRC) 的发病率和死亡率。 圈套器冷切除术(CSP)是一种高度可行、有效和安全的选择,因其操作简单、手术时间短、完全切除率高、并发症发生率低、术后愈合快等优点,成为切除小结直肠息肉的一线技术。 本综述对既往CSP 治疗直径<10 mm 的非带蒂息肉的有效性、安全性的发现和未来CSP 可能扩大的适应症、实施CSP 时需要注意的技术要点和标准程序,包括圈套器的选择、切除之后的标本回收等及CSP 的两项新技术进行了阐述。

Endoscopic resection for colorectal polyps has been proven to significantly reduce the incidence and mortality of colorectal cancer (CRC).Cold snare polypectomy (CSP) is a highly feasible,effective,and safe option,becoming the first-line technique for resecting small colorectal polyps due to its advantages of simple operation,short procedure time,high complete resection rate,low complication rate,and rapid postoperative healing.This review elaborates on the findings regarding the effectiveness and safety of CSP in treating non-pedunculated polyps with a diameter of <10 mm,the potential expanded indications of CSP in the future,the technical points and standard procedures that need attention when performing CSP,including the selection of snares,specimen retrieval after resection,and two new techniques associated with CSP.

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