摘要
目的:探讨无痛消化内镜下高频电刀手术治疗胃肠道息肉的临床效果。方法:选取我院2016年1月~2018年5月拟实施内镜下治疗的胃肠道息肉患者80例进行回顾分析分析,其中无痛组和常规组各40例,无痛组采用无痛消化内镜下高频电刀手术治疗,常规组采用普通消化内镜下高频电刀治疗,对比两组的手术时间、术中出血量、息肉一次清除率、手术并发症、术后疼痛、术后患者的排气或者排便时间、手术前后患者血清皮质醇(Cor)、前列腺素E2(PGE2)。结果:无痛组患者的手术时间、术中出血量均低于常规组,无痛组和常规组患者的息肉一次性清除率均为100%;无痛组患者的术后患者第一次肛门排气时间、第一次排便时间与常规组比较,差异均无统计学意义;无痛组患者术中、术后10min、30min、60min、4h的VAS评分均低于常规组,差异均具有统计学意义;术前,两组患者血清Cor、PGE2水平差异不具有统计学意义,术后2h,无痛组患者的血清Cor、PGE2水平显著的额低于常规组;无痛组患者的手术并发症率5.00%低于常规组患者的20.00%,差异具有统计学意义。结论:无痛消化内镜下高频电刀手术治疗胃肠道息肉的具有减轻患者术中术后疼痛及疼痛介质水平、降低并发症率、减少手术时间及出血量的优势。
Objective To explore the clinical effect of painless digestive endoscopic high-frequency electrosurgical surgery for gastrointestinal polyps.Methods Eighty patients with gastrointestinal polyps who underwent endoscopic treatment from January 2016 to May 2018 were selected for retrospective analysis.Among them,40 patients in the painless group and the conventional group,and the painless group used painless digestion.Microscopic electrosurgical treatment under the microscope,the conventional group was treated with ordinary digestive endoscopic high-frequency electrosurgical treatment.The operation time,intraoperative blood loss,polyp clearance rate,surgical complications,postoperative pain,postoperative operation were compared between the two groups.The patient’s deflation or defecation time,serum cortisol(Cor),prostaglandin E2(PGE2)before and after surgery.Results The operation time and intraoperative blood loss of the painless group were lower than those of the conventional group.The one-time clearance rate of polyps in the painless group and the conventional group was 100%;the postoperative patients in the painless group were the first.There was no significant difference in the time of anal exhaust and the first defecation time compared with the conventional group.The VAS scores of the patients in the painless group were low during operation,10min,30min,60min and 4h after operation.In the conventional group,the differences were statistically significant.There was no significant difference in serum Cor and PGE2 levels between the two groups before surgery.Serum Cor in the painless group was 2 hours after surgery.The level of PGE2 was significantly lower than that of the conventional group.The operative complication rate of the painless group was 5.00%lower than that of the conventional group(20.00%),and the difference was statistically significant.Conclusion The painless digestive endoscopic high-frequency electrosurgery for the treatment of gastrointestinal polyps has the advantage of reducing the intraoperative and postoperative pain and pain media levels,reducing the complication rate,reducing the operation time and the amount of bleeding.
作者
沈璐
Shen Lu(Department of Gastroenterology,Changzhou Hospital of Traditional Chinese Medicine,Changzhou 213000,China)
出处
《湖南师范大学学报（医学版）》
2020年第3期114-117,共4页
Journal of Hunan Normal University(Medical Sciences)
关键词
无痛
消化内镜
高频电刀
胃肠息肉
painless
digestive endoscopy
high frequency electrosurgical
gastrointestinal polyps
