内镜下黏膜切除术与内镜下等离子射频术治疗直肠广基息肉患者的效果比较  

Comparison of effects of endoscopic mucosal resection and endoscopic plasma radiofrequency in treatment of patients with rectal broad-based polyps

作　　者：郭永存 GUO Yongcun(The Second Hospital of Fuqing City,Fuqing 350315 Fujian,China)

机构地区：[1]福清市第二医院,福建福清350315

出　　处：《中国民康医学》2022年第6期131-133,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较内镜下黏膜切除术与内镜下等离子射频术治疗直肠广基息肉患者的效果。方法:选取88例直肠广基息肉患者为研究对象,按随机数字表将其分为对照组与观察组各44例。对照组采用内镜下等离子射频术治疗,观察组采用内镜下黏膜切除术治疗,比较两组治疗效果、并发症发生率、手术相关指标水平和息肉复发率。结果:观察组治疗总有效率为97.73%(43/44),高于对照组的81.82%(36/44),差异有统计学意义(P<0.05);观察组并发症发生率为4.54%(2/44),低于对照组的18.18%(8/44),差异有统计学意义(P<0.05);观察组手术时间、胃肠功能恢复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);两组息肉复发率比较,差异无统计学意义(P>0.05)。结论:内镜下黏膜切除术治疗直肠广基息肉患者可提高治疗总有效率,缩短手术时间、胃肠功能恢复时间和住院时间,减少术中出血量,以及降低并发症发生率,其效果优于内镜下等离子射频术治疗。Objective:To compare effects of endoscopic mucosal resection and endoscopic plasma radiofrequency in treatment of patients with rectal broad-based polyps.Methods:88 patients with rectal broad-based polyps were selected as the research objects,and were divided into control group and observation group according to the random number table,44 cases in each group.The control group was treated with endoscopic plasma radiofrequency surgery,while the observation group was treated with endoscopic mucosal resection.The treatment effects,the incidence of complications,the levels of surgery-related indicators and the recurrence rate of polyps were compared between the two groups.Results:The total effective rate of the observation group was 97.73%(43/44),which was higher than 81.82%(36/44)of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 4.54%(2/44),which was lower than 18.18%(8/44)in the control group,and the difference was statistically significant(P>0.05).The operation time,the gastrointestinal function recovery time and the hospitalization time in the observation group were shorter than those in the control group;the intraoperative blood loss was less than that in the control group;and the differences were statistically significant(P<0.05).However,there was no significant difference in the recurrence rate of polyps between the two groups(P>0.05).Conclusions:Endoscopic mucosal resection in the treatment of the patients with rectal broad-based polyps can improve the total effective rate of treatment,shorten the operation time,the gastrointestinal function recovery time and the hospitalization time,reduce the intraoperative blood loss,and reduce the incidence of complications.Moreover,it is superior to single endoscopic radiofrequency treatment.

关 键 词：广基息肉 直肠 内镜下黏膜切除术 出血 并发症 复发率 

分 类 号：R735[医药卫生—肿瘤]