摘要
目的:探讨内镜下电凝电切除术在老年人结直肠息肉临床治疗中的应用效果。方法:选取2022年6月~2023年3月福建省老年医院收治的102例老年结直肠息肉患者作为研究对象,分为观察组(黏膜下注射后行内镜黏膜切除术)和对照组(内镜息肉高频电切除术)各51例,对比两组患者的手术治疗效果。结果:对比手术疗效,观察组患者的息肉完全切除率高于对照组(P<0.05)。对比手术指标,观察组患者的手术时间比对照组更短(P<0.05),观察组患者的术中平均一次性止血夹数量低于对照组(P<0.05)。对比术后恢复情况,观察组患者的肛门排气时间、恢复排便时间、住院时间比对照组更短(P<0.05)。对比术后并发症发生情况,观察组患者的术后并发症发生率低于对照组(P<0.05)。结论:在老年人结直肠息肉的临床治疗中,黏膜下注射后行内镜黏膜切除术,可以更有效地切除结直肠息肉,手术时间较短,术后恢复较快,安全性较高,临床不良反应较少。
Objective:To explore the application effect of endoscopic electrocoagulation resection in the clinical treatment of colorectal polyps in the elderly.Methods:102 elderly patients with colorectal polyps admitted to Fujian Geriatric Hospital from June 2022 to March 2023 were selected as the study subjects and divided into an observation group:electronic medical record(EMR)after submucosal injection,and a control group:endoscopic high frequency electrocoagulation resection with a snare device,with 51 cases each.The surgical treatment effects of the two groups of patients were compared.Results:Compared with the surgical efficacy,the observation group had a higher complete polypectomy rate than the control group(P<0.05).Compared with surgical indicators,the observation group had shorter surgical time than the control group(P<0.05),and the average number of disposable hemostatic clips during surgery was lower in the observation group than in the control group(P<0.05).Compared with the postoperative recovery,the observation group had shorter anal exhaust time,recovery time,and hospital stay compared to the control group(P<0.05).Compared with the incidence of postoperative complications,the incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion:In the clinical treatment of colorectal polyps in the elderly,electronic medical record(EMR)after submucosal injection can more effectively remove colorectal polyps,with shorter surgical time,faster postoperative recovery,higher safety,fewer clinical adverse reactions.
作者
陈雪芳
CHEN Xue-fang(Department of Gastroenterology,Fujian Geriatric Hospital,Fujian Fuzhou 350000)
出处
《中国医疗器械信息》
2023年第23期131-134,共4页
China Medical Device Information
关键词
内镜黏膜切除术
老年患者
结直肠息肉
临床疗效
endoscopic electrocoagulation and resection
elderly patients
colorectal polyps
clinical efficacy
