消化内镜治疗消化道息肉的方法及临床有效性研究  

Study on the method and clinical effectiveness of digestive endoscopy in the treatment of gastrointestinal polyps

作　　者：王计[1] 吴小微[1] 晏妮 WANG Ji;WU Xiaowei;YAN Ni(Department of Gastroenterology,Hanyang Hospital Affiliated toWuhan University of Science and Technology,Wuhan,Hubei,430050,China)

机构地区：[1]武汉科技大学附属汉阳医院消化内科,湖北武汉430050

出　　处：《当代医学》2022年第4期64-66,共3页Contemporary Medicine

基　　金：探讨优化肠道准备方案对结肠镜检查质量控制的影响(WX20D29);强化指导在结肠镜检查前肠道准备的应用研究(WX21C11)。

摘　　要：目的分析消化道息肉患者接受消化内镜治疗后的效果。方法选取2019年12月至2021年6月于本院进行消化内镜治疗的100例消化道息肉患者作为研究对象,采用电脑随机法分为对比组(高频电切术)与实验组(黏膜切除术),各50例。比较两组临床疗效、并发症发生率、手术指标、切除情况及生活质量。结果实验组治疗总有效率为96.00%,高于对比组的80.00%(P<0.05);实验组并发症发生率为4.00%,低于对比组的16.00%(P<0.05);实验组手术时间长于对比组(P<0.05);实验组住院时间短于对比组(P<0.05);实验组完全切除率为96.00%,高于对比组的76.00%(P<0.05);实验组生活质量评分高于对比组,差异有统计学意义(P<0.05)。结论消化内镜治疗方法能帮助主治医生获得更好地手术视野,提升手术效果,其中消化内镜下黏膜切除术治疗效果显著,切除消化道息肉更彻底,可减少并发症发生,提升患者生活质量。Objective To analyze the effect of digestive endoscopy in patients with gastrointestinal polyps. Methods 100 patients with gastrointestinal polyps treated by endoscopy in our hospital from December 2019 to June 2021 were selected as the research subjects. They were randomly divided into control group(high frequency electroresection) and experimental group(mucosal resection), with 50 cases in each group. The clinical efficacy, complications rate, surgical indexes, resection and quality of life were compared between the two groups. Results The total effective rate in the experimental group was 96.00%, which was higher than 80.00% in the control group(P<0.05);the incidence of complications in the experimental group was 4.00%, which was lower than 16.00% in the control group(P<0.05);there was no significant difference in operation time between the two groups;the hospitalization time of the experimental group was shorter than that of the control group(P<0.05);the complete resection rate in the experimental group was 96.00%, which was higher than 76.00% in the control group(P<0.05);the score of quality of life in the experimental group was significantly higher than that in the control group(P<0.05). Conclusion Endoscopic treatment can help the attending doctor to better obtain the surgical field and improve the surgical effect. Endoscopic mucosal resection has significant therapeutic effect, and the resection of gastrointestinal polyps is more thorough, which can reduce the incidence of complications and improve the quality of life of patients.

关 键 词：临床有效性 消化内镜治疗 消化道息肉 

分 类 号：R656[医药卫生—外科学]