内镜下高频电刀与氩离子凝固术联合应用于胃肠息肉治疗中的效果研究  

Effect of Endoscopic High-Frequency Electrotome Combined with Argon Ion Coagulation in Treatment of Gastrointestinal Polyps

作　　者：焦胜成[1] 孙增峰[1] 李宾[2] Jiao Sheng-cheng;Sun Zeng-feng;Li Bin(Department of Internal Medicine,People's Hospital of Licheng District of Jinan City1,Jinan 250115,Shandong Province,China;Department of Gastroenterology,Shandong Provincial Hospital2,Jinan 250021,Shandong Province,China)

机构地区：[1]济南市历城区人民医院内科,山东济南250115 [2]山东省立医院消化内科,山东济南250021

出　　处：《中国社区医师》2022年第5期42-44,共3页Chinese Community Doctors

摘　　要：目的:探讨内镜下高频电刀与氩离子凝固术联合应用于胃肠息肉治疗中的效果。方法:130例研究对象均为2016年6月-2019年5月胃肠息肉患者,将其随机分成两组。对照组65例应用内镜下高频电切术治疗;研究组65例应用内镜下高频电刀与氩离子凝固术联合治疗。将两组的疗效进行评价。结果:在1次手术成功率比较中,研究组较对照组高,差异有统计学意义(P<0.05);术后血清胃泌素-17(G-17)、胃蛋白酶原Ⅰ(PG)指标比较中,研究组均较对照组高,差异有统计学意义(P<0.01);随访1年内复发率,研究组较对照组低,差异有统计学意义(P<0.05)。两组胃蛋白酶原Ⅱ(PGⅡ)水平比较,差异无统计学意义(P>0.05)。在术后并发症发生率的比较中,研究组较对照组低,差异有统计学意义(P<0.05)。结论:胃肠息肉患者应用内镜下高频电刀联合氩离子凝固术治疗可以取得满意的效果,安全性高。Objective:To explore the effect of endoscopic high-frequency electrotome combined with argon ion coagulation in the treatment of gastrointestinal polyps.Methods:From June 2016 to May 2019,130 patients with gastrointestinal polyps were included as the study subjects and were randomly divided into two groups.The 65 cases in the control group were treated with endoscopic high-frequency electrotome;65 cases in the study group were treated with endoscopic high-frequency electrotome and argon ion coagulation.The therapeutic effects of the two groups were evaluated.Results:The success rate of one operation in the study group was higher than that in the control group,with statistically significant difference(P<0.05);the levels of postoperative serum gastrin-17(G-17)and pepsinogen I(PG I)indexes in the study group were higher than those in the control group,with statistically significant difference(P<0.01);the recurrence rate within 1-year follow-up in the study group was lower than that in the control group,with statistically significant difference(P<0.05).There was no significant difference in the level of PGⅡbetween the two groups(P>0.05).The incidence of postoperative complications in the study group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion:Endoscopic high-frequency electrotome combined with argon ion coagulation in the patients with gastrointestinal polyps can achieve satisfactory effect and high safety.

关 键 词：内镜 高频电刀 氩离子凝固术 胃肠息肉 

分 类 号：R656[医药卫生—外科学]