摘要
目的观察无痛内镜下高频电和微波切除胃十二指肠息肉的临床疗效。方法选取2019年10月-2020年10月在我院诊治的92例胃十二指肠息肉患者作为研究对象,采用随机数字表法分为对照组和观察组,各46例。对照组采用无痛内镜下微波切除术治疗,观察组采用无痛内镜下高频电和微波切除治疗,比较两组一次性切除率、手术指标、并发症发生率、生活质量评分及复发率。结果观察组一次性切除率高于对照组,差异有统计学意义(P<0.05);观察组手术时间、术中出血量均小于对照组,差异有统计学意义(P<0.05);两组术后疼痛评分比较,差异无统计学意义(P>0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组生活质量各维度评分均高于对照组,差异有统计学意义(P<0.05);随访1年,观察组复发率低于对照组,差异有统计学意义(P<0.05)。结论无痛内镜下高频电和微波切除胃十二指肠息肉效果确切,可提高一次性切除率,降低并发症发生率,提高患者的生活质量,降低复发率,确保远期疗效,值得临床应用。
Objective To observe the clinical efficacy of high-frequency electric and microwave resection of gastroduodenal polyps under painless endoscopy.Methods A total of 92 patients with gastroduodenal polyps treated in our hospital from October 2019 to October 2020 were selected and randomly divided into control group and observation group,with 46 cases in each group.The control group was treated with painless endoscopic microwave resection,and the observation group was treated with painless endoscopic high-frequency electrical resection and microwave resection.The primary resection rate,surgical index,complication rate,quality of life score and recurrence rate were compared between the two groups.Results The primary resection rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The operation time and intraoperative blood loss of the observation group were less than those of the control group,and the difference was statistically significant(P<0.05),while there was no significant difference in postoperative pain score between the two groups(P>0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The scores of each dimension of quality of life in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).After 1 year of follow-up,the recurrence rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion High frequency electric and microwave endoscopic resection of gastroduodenal polyps is effective,which can improve the rate of primary resection,reduce the incidence of complications,improve the quality of life of patients,reduce the recurrence rate,and ensure long-term curative effect.It is worthy of clinical application.
作者
王彩霞
WANG Cai-xia(Endoscopy Room,Wuqing District Hospital of Traditional Chinese Medicine,Tianjin 301700,China)
出处
《医学信息》
2021年第22期75-77,共3页
Journal of Medical Information
关键词
无痛内镜
高频电波
微波
胃十二指肠息肉
Painless endoscopy
High frequency radio
Microwave
Gastroduodenal polyps
