摘要
目的 观察消化内镜黏膜下剥离术在消化道早期治疗中的临床效果。方法 选取喀什地区第一人民医院2021年6月-2023年2月收治的86例消化道病变患者为研究对象,按照随机数表法分为研究组与对照组,各43例。对照组进行常规切除手术,研究组进行消化内镜黏膜下剥离手术,对比两组临床诊疗效果。结果研究组治疗总有效率为95.35%,高于对照组的79.07%,差异有统计学意义(χ^(2)=5.108,P<0.05)。研究组胃肠胀气、感染、消化道穿孔等术后并发症发生率9.30%低于对照组的25.58%,差异有统计学意义(P<0.05)。研究组术中出血量少于对照组,手术时间、住院时间短于对照组,差异有统计学意义(P<0.05)。结论 消化内镜黏膜下剥离术在消化道早期治疗中的临床应用效果较好,有助于改善患者围术期指标,促进其病症好转,并降低术后并发症发生风险,具有良好的实用价值。
Objective To observe the clinical effect of digestive endoscopic submucosal dissection in the early treat⁃ment of digestive tract.Methods 86 patients with digestive tract diseases admitted to the First People´s Hospital of Kashgar from June 2021 to February 2023 were selected as the research objects.According to the random number table,they were divided into the research group and the control group,with 43 cases in each group.The control group underwent routine resection surgery,while the research group underwent endoscopic submucosal dissection surgery.The clinical diagnosis and treatment effects of the two groups were compared.Results The total effective rate of treat⁃ment in the research group was 95.35%,which was higher than 79.07%in the control group,the difference was statis⁃tically significant(χ^(2)=5.108,P<0.05).The incidence of postoperative complications such as gastrointestinal bloating,infection,and gastrointestinal perforation in the study group was 9.30%lower than 25.58%in the control group,the difference was statistically significant(P<0.05).The intraoperative bleeding volume in the study group was less than that in the control group,and the surgical time and hospitalization time were shorter than those in the control group,the difference was statistically significant(P<0.05).Conclusion Digestive endoscopic submucosal dissection has a bet⁃ter clinical effect in the early treatment of the digestive tract,which helps to improve the perioperative indicators of pa⁃tients,promote the improvement of their symptoms,and reduce the risk of postoperative complications,which has good practical value.
作者
尼力帕尔·阿不都吾甫尔
阿卜杜沙塔尔·麦麦提敏
Abuduwupuer Nilipaer;Maimaitimin Abudushataer(Department of Gastroenterology,The First People´s Hospital of Kashgar,Kashgar,Xinjiang Uygur Autonomous Re-gion,844000 China;Department of Anesthesiology,The First People´s Hospital of Kashgar,Kashgar,Xinjiang Uygur Autonomous Region,844000 China)
出处
《系统医学》
2023年第11期134-137,共4页
Systems Medicine
关键词
消化内镜
黏膜下剥离术
消化道病症
并发症
Digestive endoscopy
Submucosal dissection
Digestive tract disorders
Complications
