无痛肠镜下高频电凝电切治疗结肠息肉的疗效观察  

Observation of the efficacy of high frequency electrocoagulation and electric resection under painless colonoscopy in the treatment of colon polyps

作　　者：关斌 刘莹 张洪伶 黄鹤 郑双 GUAN Bin;LIU Ying;ZHANG Hong-ling(Endoscopy Center,Shenyang Sixth People’s Hospital,Shenyang 110000,China)

机构地区：[1]沈阳市第六人民医院腔镜科,110000 [2]中国医大四院肿瘤内科,110000 [3]北部战区空军医院,110000

出　　处：《中国现代药物应用》2022年第5期34-36,共3页Chinese Journal of Modern Drug Application

摘　　要：目的分析无痛肠镜下高频电凝电切治疗结肠息肉的临床效果。方法302例结肠息肉患者,按治疗方法不同分为观察组(152例)和对照组(150例)。观察组采用无痛肠镜高频电凝电切治疗,对照组采用传统常规开腹手术治疗。对比两组患者手术情况(手术时间、术中出血量、住院时间、术后首次进食时间)、一次性结肠息肉清除率及手术后并发症发生率。结果观察组术后出血量(58.2±17.8)ml少于对照组的(105.9±16.7)ml,手术时间(40.57±5.27)min、住院时间(5.52±2.95)d及术后首次进食时间(7.49±1.58)h均短于对照组的(58.27±6.14)min、(11.02±3.07)d、(11.38±1.35)h,差异具有统计学意义(P<0.05)。观察组与对照组一次性结肠息肉清除率均为100.00%,对比差异无统计学意义(P>0.05);观察组手术后并发症发生率1.97%低于对照组的6.67%,差异有统计学意义(P<0.05)。结论针对结肠息肉患者使用无痛肠镜下高频电凝电切治疗,效果较好,而且对患者造成的损伤小,术后并发症发生率低,恢复快,具备明显的推广价值。Objective To analyze the clinical effect of high frequency electrocoagulation and electric resection under painless colonoscopy in the treatment of colon polyps.Methods A total of 302 patients with colon polyps were divided into observation group(152 cases)and control group(150 cases)according to different treatment methods.The observation group was treated with high-frequency electrocoagulation and electric resection under painless colonoscopy,and the control group was treated with traditional conventional laparotomy.The surgical conditions(operation time,intraoperative blood loss,hospitalization time,first postoperative feeding time),one-time colon polyp clearance rate and postoperative complication rate were compared between the two groups.Results In the observation group,the postoperative blood loss(58.2±17.8)ml was less than(105.9±16.7)ml of the control group,and the operation time(40.57±5.27)min,hospitalization time(5.52±2.95)d and first postoperative feeding time(7.49±1.58)h were shorter than(58.27±6.14)min,(11.02±3.07)d and(11.38±1.35)h of the control group.All the differences were statistically significant(P<0.05).The one-time colon polyp clearance rate was 100.00% in both the observation group and the control group,and the difference was not statistically significant(P>0.05).The postoperative complication rate 1.97% in the observation group was lower than 6.67% in the control group,and the difference was statistically significant(P<0.05).Conclusion High frequency electrocoagulation and electric resection under painless colonoscopy for patients with colon polyps is more effective and causes less damage to patients,and the postoperative complication rate is lower and the recovery is faster,which has obvious promotion value.

关 键 词：结肠息肉 无痛肠镜 高频电凝电切 临床疗效 

分 类 号：R656.9[医药卫生—外科学]