冷圈套内镜下黏膜切除术治疗胃肠道黏膜平坦型病变的效果  

Effect of Cold Snare Endoscopic Mucosal Resection in the Treatment of Gastrointestinal Mucosal Flat Lesion

作　　者：段超勤 杨建龙[1] DUAN Chaoqin;YANG Jianlong(Suzhou Hospital Affiliated to Nanjing Medical University,Suzhou 215001,China)

机构地区：[1]南京医科大学附属苏州医院[江苏省苏州市立医院(东区)],江苏苏州215001

出　　处：《中国医学创新》2022年第35期61-64,共4页Medical Innovation of China

摘　　要：目的:研究胃肠道黏膜平坦型病变应用冷圈套内镜下黏膜切除术(CS-EMR)治疗的效果。方法:研究对象选取南京医科大学附属苏州医院于2019年1月-2021年12月收治的90例胃肠道黏膜平坦型病变患者,回顾性分析患者临床资料,按不同手术方式分为对照组(n=45)与试验组(n=45),分别行热圈套内镜下黏膜切除术(HS-EMR)、CS-EMR治疗。对比两组疗效、围手术期指标、病灶完整切除率及术后并发症。结果:与对照组比较,试验组病变切除时间、手术时间均更短,出血量更少(P<0.05);试验组总有效率为95.56%,高于对照组的75.56%,差异有统计学意义(P<0.05);两组完整切除率比较,差异无统计学意义(P>0.05);试验组术后并发症发生率为4.44%,低于对照组的17.78%,差异有统计学意义(P<0.05)。结论:胃肠道黏膜平坦型病变应用CS-EMR治疗,可缩短手术时间,提高临床疗效,减少术后并发症发生。Objective: To investigate the effect of cold snare endoscopic mucosal resection(CS-EMR) in the treatment of gastrointestinal mucosal flat lesions. Method: All total of 90 patients with gastrointestinal mucosal flat lesions who were admitted to Suzhou Hospital Affiliated to Nanjing Medical University from January 2019 to December 2021 were selected for the study. The clinical data of these patients were analyzed and divided into the control group(n=45) and the experimental group(n=45) according to different surgical methods, and respectively treated with hot snare endoscopic mucosal resection(HS-EMR), CS-EMR treatment. The curative effect,perioperative indicators, complete resection rate and postoperative complications were compared between the two groups. Result: Compared with the control group, the lesion excision time, operation time in the experimental group were shorter, and the the amount of bleeding was less(P<0.05). The total effective rate of the experimental group was 95.56%, which was higher than 75.56% of the control group(P<0.05). There was no significant difference in the complete resection rate between the two groups(P>0.05). The incidence of postoperative complications in the experimental group was 4.44%, which was lower than that in the control group(17.78%)(P<0.05).Conclusion: The application of CS-EMR in the treatment of gastrointestinal mucosal flat lesions can shorten the operation time, improve the clinical efficacy and reduce the postoperative complications.

关 键 词：胃肠道黏膜 平坦型病变 冷圈套内镜下黏膜切除术 穿孔 

分 类 号：R656[医药卫生—外科学]