内镜下黏膜切除术治疗结肠息肉的临床效果及病理检查结果分析  

Analysis of clinical effect and pathological examination results of endoscopic mucosal resection for colonic polyps

作　　者：许琳 安俊平[1] 王军生 蒋菁蕊 宋苏华[1] 陈启龙[1] XU Lin;AN Junping;WANG Junsheng;JIANG Jingrui;SONG Suhua;CHEN Qilong(Gastroenterology Department,Xuzhou Cancer Hospital,Xuzhou 221000,China)

机构地区：[1]徐州市肿瘤医院消化科,江苏徐州221000

出　　处：《临床医学研究与实践》2021年第31期91-93,共3页Clinical Research and Practice

摘　　要：目的探讨内镜下黏膜切除(EMR)术与高频电切术治疗结肠息肉的临床效果,并分析其病理检查结果。方法选取2018年1月至2020年7月来我院进行电子肠镜检查且确诊为结肠息肉、需要住院治疗的230例患者,按治疗方案的不同将其分为A组(80例,高频电切术)和B组(150例,EMR术)。分析结肠息肉的内镜下表现及病理检查结果,并比较EMR术与高频电切术治疗结肠息肉对患者并发症、复发及术后恢复情况的影响。结果230例患者的412枚息肉全部被切除,切除率为100.00%。B组的残留率、复发率均低于A组,排气时间、进食时间及排便时间均短于A组,差异具有统计学意义(P<0.05)。230例结肠息肉患者中,多发息肉、山田分型Ⅰ、Ⅱ型最多,且多发于乙状结肠与直肠,病理分型中腺瘤性息肉最多。结论经内镜诊断结肠息肉患者,可清晰观察到息肉的内镜表现及术后病理检查结果,与高频电切术相比,EMR术具有临床效果好、创伤小、术后恢复快、息肉残留率及复发率低等特点,值得临床广泛推广应用。Objective To investigate the clinical effects of endoscopic mucosal resection(EMR)and high frequency electrotomy in the treatment of colonic polyps,and to analyze the pathological examination results.Methods A total of 230 patients who underwent electronic colonoscopy examination in our hospital from January 2018 to July 2020 and were diagnosed with colonic polyps requiring hospitalization treatment were selected and divided into group A(80 cases,high frequency electrotomy)and group B(150 cases,EMR)according to different treatment regimens.The endoscopic manifestations and pathological examination results of colonic polyps were analyzed,and the influences on complications,recurrence and postoperative recovery of patients with colonic polyps treated by EMR and high frequency electrotomy were compared.Results All 412 polyps of 230 patients were removed,and the resection rate was 100.00%.The residual rate and recurrence rate of the group B were lower than those of the group A,the exhaust time,eating time and defecation time were shorter than those of the group A,and the differences were statistically significant(P<0.05).Among 230 patients with colonic polyps,multiple polyps,Yamada typeⅠand typeⅡwere the most common,most of them were in sigmoid colon and rectum,and adenomatous polyps were the most in pathological type.Conclusion In patients with colonic polyps diagnosed by endoscopy,the endoscopic findings and postoperative pathological examination results of polyps can be clearly observed.Compared with high frequency electrotomy,EMR has the characteristics of good clinical effect,less trauma,rapid postoperative recovery,low polyp residue rate and recurrence rate,which is worthy of wide clinical promotion and application.

关 键 词：内镜下黏膜切除术 结肠息肉 高频电切术 

分 类 号：R574.62[医药卫生—消化系统]