摘要
目的:比较内镜下黏膜切除术(EMR)与内镜下高频电切术治疗结肠息肉患者的效果及并发症。方法:抽取2019年5月至2019年11月河南中医药大学第三附属医院收治的60例结肠息肉患者作为研究对象,采用随机数字表分为观察组与对照组,每组30例。观察组行EMR手术方案治疗,对照组行内镜下高频电切术治疗,对比分析两组治疗临床总有效率、手术时间、术中出血量、术后肠功能恢复时间、住院时间等临床指标及并发症发生情况。结果:两组临床疗效总有效率比较,差异未见统计学意义(P>0.05)。两组手术时间及住院时间比较,差异未见统计学意义(P>0.05);观察组术中出血量少于对照组,术后肠功能恢复时间短于对照组,差异均有统计学意义(P均<0.05)。观察组术中出血、术后出血、穿孔、切口过深为2、1、1、1例,对照组术中出血、术后出血、穿孔、切口过深为8、2、3、6例。两组术后出血、穿孔并发症发生率比较,差异未见统计学意义(P>0.05);观察组术中出血、切口过深并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:EMR对结肠息肉患者实施治疗,临床疗效显著,可有效减少术中出血量,缩短患者术后肠功能恢复时间,且安全性更高,并发症发生率有效降低。
Objective To compare the effect and complications of endoscopic mucosal resection(EMR)and endoscopic high-frequency resection on patients with colon polyps.Methods A total of 60 cases with colon polyp admitted in the Third Affiliated Hospital of Henan University of Traditional Chinese Medicine from May 2019 to November 2109 were selected as research objects,and they were divided into the observation group and the control group based on the random number table,with 30 cases in each group.The observation group was treated by EMR surgery,and the control group was treated by endoscopic high-frequency resection.The total clinical effective rate,operation time,intraoperative bleeding volume,postoperative intestinal function recovery time,hospitalization time and other clinical indicators and complications of the two groups were compared and analyzed.Results There was no significant difference in the total effective rate between the two groups(P>0.05).There was no significant difference in surgical time and hospital stay between the two groups(P>0.05).The amount of bleeding in the observation group was significantly less than that in the control group,and the recovery time of intestinal function was significantly shorter than that in the control group.The differences were statistically significant(all P<0.05).In the observation group,there were 2 cases of intraoperative hemorrhage,1 case of postoperative hemorrhage,1 case of perforation and 1 case of incision over depth.In the control group,there were 8 cases of intraoperative hemorrhage,2 cases of postoperative hemorrhage,3 cases of perforation and 6 cases of incision over depth.The complications of bleeding and perforation were compared between the two groups,the difference was not statistically significant(P>0.05);the incidence of intraoperative bleeding and deep incision complications in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusions EMR treatment of patients with colon polyps has significant clinical efficacy,it can effectively reduce the amount of bleeding during operation and shorten the recovery time of intestinal function after operation,and has higher safety,the incidences of complications were effectively reduced.
作者
刘鑫鑫
李严生
许戈林
Liu Xinxin;Li Yansheng;Xu Gelin(Department of Gastroenterology,the Third Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China)
出处
《中国实用医刊》
2020年第14期65-67,共3页
Chinese Journal of Practical Medicine
关键词
内镜下黏膜切除术
内镜下高频电切术
结肠息肉
Endoscopic mucosal resection
Endoscopic high-freguency resection
Colon polyps
