胃肠镜下高频电切术联合氩离子凝固术止血治疗上消化道息肉患者的效果  

Effects of gastrointestinal endoscopic high-frequency electrotomy combined with argon ion coagulation for hemostasis in treatment of patients with upper gastrointestinal polyps

作　　者：苗慧 MIAO Hui(Endoscopy Room of the Third People’s Hospital of Liaoyang,Liaoyang 111000 Liaoning,China)

机构地区：[1]辽阳市第三人民医院腔镜室,辽宁辽阳111000

出　　处：《中国民康医学》2021年第7期7-8,11,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察胃肠镜下高频电切术联合氩离子凝固术(APC)止血治疗上消化道息肉患者的效果。方法:选取64例上消化道息肉患者作为研究对象,按照随机数字表法分为对照组和研究组各32例。对照组采用胃肠镜下高频电凝电切术治疗,研究组采用胃肠镜下高频电切术联合APC止血治疗,比较两组手术指标水平、术后1年复发率和术后并发症发生率。结果:研究组手术时间和住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);研究组术后1年复发率为3.13%,低于对照组的25.00%,差异有统计学意义(P<0.05);研究组术后并发症发生率为6.25%,低于对照组的28.13%,差异有统计学意义(P<0.05)。结论:胃肠镜下高频电切术联合APC治疗上消化道息肉患者,可缩短手术时间和住院时间,减少术中出血量,降低术后并发症发生率和术后1年复发率,其效果优于单纯胃肠镜下高频电凝电切术治疗。Objective:To observe effects of gastrointestinal endoscopic high-frequency electrotomy combined with argon ion coagulation(APC)for hemostasis in treatment of patients with upper gastrointestinal polyps.Methods:64 patients with upper gastrointestinal polyps were selected as the research objects,and were divided into control group and study group according to the random number table method,32 cases in each group.The control group was treated with gastrointestinal endoscopic high-frequency electrotomy,while the study group was treated with gastrointestinal endoscopic high-frequency electrotomy and APC for hemostasis.The levels of surgical indicators,the recurrence rate one year after the surgery and the incidence of postoperative complications were compared between the two groups.Results:The operation time and hospitalization time of the study group were shorter than those of the control group;the intraoperative blood loss was less than that of the control group;and the differences were statistically significant(P<0.05).The 1-year recurrence rate in the study group was 3.13%,which was lower than 25.00%in the control group,and the difference was statistically significant(P<0.05).Further,the postoperative complication rate in the study group was 6.25%,which was lower than 28.13%in the control group,and the difference was statistically significant(P<0.05).Conclusions:The gastrointestinal endoscopic high-frequency electrotomy and APC for hemostasis in the treatment of upper gastrointestinal polyps can shorten the operation time and hospitalization time,reduce the intraoperative blood loss,and reduce the incidence of postoperative complications and the recurrence rate one year after the surgery.Moreover,it is superior to single gastrointestinal endoscopic high-frequency electrocoagulation and electrotomy.

关 键 词：高频电凝电切术 氩离子凝固术 胃肠镜 上消化道息肉 并发症 复发率 

分 类 号：R454.1[医药卫生—治疗学]