内镜下黏膜切除术治疗大肠宽基息肉的效果分析  被引量:3

Analysis on the Effect of Endoscopic Mucosal Resection for the Treatment of Wide-Base Colorectal Polyps

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作  者:李林辉[1] 范洪波[1] 赵炳[1] 

机构地区:[1]玉溪市人民医院消化内科,云南玉溪653100

出  处:《临床医学工程》2018年第2期131-132,共2页Clinical Medicine & Engineering

摘  要:目的探讨内镜下黏膜切除术治疗大肠宽基息肉的临床效果。方法选取2016年1月至8月在我院行大肠宽基息肉切除的患者90例,随机分为对照组和观察组各45例。对照组行常规息肉切除手术,观察组行内镜下黏膜切除术,观察并比较两组的治疗效果、术后并发症发生率、1年内息肉复发率和患者的治疗满意度。结果观察组的治疗总有效率显著高于对照组(95.56%vs.82.22%),术后并发症发生率显著低于对照组(8.89%vs.26.67%),1年内息肉复发率显著低于对照组(2.22%vs.17.78%),患者的治疗满意度显著高于对照组(93.33%vs.73.33%),差异均有统计学意义(P<0.05)。结论内镜下黏膜切除术治疗大肠宽基息肉具有显著效果,并发症少,息肉复发率低,患者满意度高,值得临床推广应用。Objective To explore the clinical effect of endoscopic mucosal resection for the treatment of wide-base colorectal polyps. Methods 90 cases of patients undergoing resection of wide-base colorectal polyps in our hospital from January 2016 to August 2016 were randomly divided into two groups, with 45 cases in each group. Patients in the control group received regular resection of polyps, while patients in the observation group received endoscopic mucosal resection. The curative effect, incidence of postoperative complications, recurrence rate of polyps within 1 year, and patients' satisfaction degree to treatment were observed and compared between the two groups. Results The total effective rate of the observation group was 95.56%, significantly higher than 82.22% of the control group (P〈0.05). The incidence of postoperative complications of the observation group was 8.89%, lower than 26.67% of the control group (P 〈0.05). The recurrence rate of polyps within 1 year of the observation group was 2.22%, significantly lower than 17.78% of the control group (P〈0.05). The patients' satisfaction degree to treatment of the observation group was 93.33%, significantly higher than 73.33% of the control group (P 〈0.05). Conclusions Endoscopic mucosal resection for the treatment of wide-base colorectal polyps has significant effect, few complications, low recurrence rate of polyps, and high satisfaction degree of patients, which is worthy of clinical promotion and application.

关 键 词:内镜黏膜下切除术 大肠宽基息肉 应用效果 

分 类 号:R574.6[医药卫生—消化系统]

 

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