老年肠息肉高级别瘤变内镜下处理及其安全性探讨  

Endoscopic treatment of high-grade neoplasms of senile intestinal polyps and its safety

作　　者：何远琴[1] 梁若玲[1] 王丽萍[1] 赖敏莉 HE Yuanqin;LIANG Ruoling;WANG Liping;LAI Minli(Department of Digestive System,Foshan Second People's Hospital,Foshan 528000,China;Endoscopy Center,Foshan Second People's Hospital,Foshan 528000,China)

机构地区：[1]广东省佛山市第二人民医院消化内科,广东佛山528000 [2]广东省佛山市第二人民医院内镜中心,广东佛山528000

出　　处：《中国医药科学》2017年第14期191-193,共3页China Medicine And Pharmacy

摘　　要：目的探究老年患者应用内镜下处理高级别瘤变肠息肉的临床疗效及其安全性。方法回顾性分析我院2013年1月~2016年12月结直肠肿瘤术前病理确诊为结直肠高级别上皮内瘤变息肉且年龄>60岁的患者共75例,根据治疗方式的不同分为外科根治术组(n=36)和内镜摘除术组(n=39),外科根治术组患者行外科根治术,内镜摘除术组患者行内镜下息肉摘除术,统计两组患者总体术中情况、住院时间及术后并发症(如穿孔、出血、感染等)发生率。结果两组所有患者均顺利完成手术,其中1例内镜摘除术组术中转为外科根治术。内镜摘除术组患者的平均住院时间、术中出血量、创口愈合时间明显短于外科根治术组患者的平均住院时间(P<0.01);内镜摘除术组患者的术后并发症发生率(5.13%)均明显低于外科根治术组(25.00%),P<0.05。结论内镜下处理高级别瘤变肠息肉疗效较外科手术切除临床疗效更好,且内镜摘除的方法术后并发症发生率更低,利于患者康复,且明显缩短住院时间,减少患者经济负担,是一种有效便捷且安全的治疗方法。Objective To explore the clinical efficacy and safety of endoscopic treatment of advanced tumorousintestinal polyps in elderly patients.Methods A total of75patients with colorectal neoplasms preoperativepathology diagnosed with colorectal high-grade intraepithelial neoplasia and age>60years of age in our hospitalfrom January2013to December2016were retrospective analyzed.They were divided into control group(n=36)andobservation group(n=39)according to different treatment.Patients in the control group underwent surgical treatment.Patients in the observation group were treated with endoscopic polypectomy.The incidence of postoperative recovery,hospitalization and postoperative complications(such as perforation,bleeding,infection,etc.)were counted.ResultsAll the patients in two groups were successfully completed.One case in observation groups was treated with surgicalradical surgery.The average hospital stay,intraoperative blood loss and wound healing time in the endoscopic groupwere significantly shorter than in the patients undergoing radical surgery(P<0.05).The incidence of postoperativecomplications(5.13%)in the observation group was significantly lower than that in the control group(25.00%),P<0.05.Conclusion Endoscopic treatment of high-grade neoplasia of the treatment of polyps is better than theclinical efficacy of surgical resection,and endoscopic methods of postoperative complications has lower incidence.Itis conducive to rehabilitation of patients.It is an effective and convenient and safe treatment

关 键 词：肠息肉高级别瘤变 内镜摘除术 术后并发症 

分 类 号：R574[医药卫生—消化系统]