内镜圈套息肉摘除术治疗结肠大息肉的临床疗效  

Clinical Effect of Endoscopy and Operation in Treatment of Colonic Polyps

作　　者：闫玉洁[1] 王海峰[2] 张江华[3] 温斌[4] 魏静[5] 

机构地区：[1]河北北方学院附属第二医院普外科,河北张家口075100 [2]河北北方学院附属第二医院肛肠外科,河北张家口075100 [3]中国人民解放军第251医院普外科,河北张家口075100 [4]中国人民解放军白求恩国际和平医院干部病房,河北石家庄050004 [5]河北省人民医院体检中心,河北石家庄050051

出　　处：《现代生物医学进展》2016年第22期4302-4305,共4页Progress in Modern Biomedicine

基　　金：河北省科技攻关计划项目(20100217)

摘　　要：目的:探讨内镜与手术治疗结肠大息肉的临床疗效。方法:选取2011年12月至2013年12月本院诊治的结肠大息肉患者144例,随机分为观察组和对照组,每组72例。对照组患者采用传统手术治疗,观察组患者采用内镜治疗。观察并比较两组患者的治疗效果。结果:观察组手术时间、术中出血量、术后禁食时间、术后住院时间、住院费用均少于对照组,差异具有统计学意义(P<0.05);观察组术后排气时间、下床活动时间、术后排便时间均早于对照组,差异具有统计学意义(P<0.05)。观察组术后并发症发生率、术后复发率、二次手术率均明显低于对照组,随访1年镜检结果明显优于对照组,患者满意度明显高于对照组,差异均有统计学意义(P<0.05)。结论:内镜与手术均是治疗结肠大息肉的有效方案,其中内镜治疗的效果更佳,创伤小,可明显缩短治疗时间和恢复时间,有助于减少住院费用,并发症少且安全性高,复发率低,易为患者所接受。Objective： To investigate the clinical effect of endoscopy and operation on the treatment of colonic polyps. Methods： 144 patients with colonic polyps who were treated in hospital from December 2011 to December 2013 were selected and randomly divided into two groups. 72 patients in the control group were treated with the conventional operation, while another 72 patients in the observation group were treated with the endoscopy. Then the clinical effects of two groups were observed and compared. Results： The operation time, intraoperative bleeding volume, postoperative fasting time, hospitalization and costs in observation group were significantly less than those of the control group, and the differences were statisticaUy significant （P〈0.05）. The postoperative exhaust time, the activity time, the postoperative defecation time in observation group were significantly earlier than those of the control group, and the differences were statistically significant （P〈0.05）. The incidence of postoperative complications, postoperative recurrence rate, second operation rate in observation group were significantly lower than those of the control group, and the differences were statistically significant （P〈0.05）. Colonoscopy result follow-up 1 year in observation group was significantly better than control group. Patients satisfaction in observation group was significantly higher than control group. Differences were statistically significant （P〈0.05）. Conclusion： Endoscopy and operation are effective methods in treatment of colon polyps. Endoscopy has better effect, which has less trauma, which can significantly shorten treatment time and recovery time, which is helpful to reduce hospitalization expenses, which has fewer complications, higher safety, lower recurrence rate, which is easily accepted by patients.

关 键 词：内镜 手术 结肠大息肉 

分 类 号：R574[医药卫生—消化系统]