氩等离子凝固术与EMR术对结肠息肉患者术后粪便潜血情况的影响  

Effect of Argon Plasma Coagulation and EMR on Postoperative Fecal Occult Blood in Patients with Colonic Polyps

作　　者：张威 ZHANG Wei(Department of Special Examination,Endoscopy Room,the First People's Hospital of Pingdingshan City,Pingdingshan 467000,Henan Province,China)

机构地区：[1]平顶山市第一人民医院特检科内镜室,河南平顶山467000

出　　处：《罕少疾病杂志》2023年第2期67-67,89,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨氩等离子凝固术与内镜下粘膜切除术(EMR)术对结肠息肉患者术后粪便潜血情况的影响。方法选取我院收治的80例患者作为研究对象,采用随机数字表法将其分APC组和EMR组,各40例,APC组采取氩等离子凝固术(APC)治疗,EMR组采取EMR治疗,术后评价两组疗效,比较两组大便潜血试验(FOBT)结果。结果APC组与EMR组治疗有效率无显著差异(均≥90%),但FOBT结果显示APC组阳性率低于EMR组,差异具有统计学意义(P<0.05)。结论氩等离子凝固术与EMR术治疗结肠息肉疗效均较好,但前者术后粪便潜血风险更低。Objective To investigate the effect of argon plasma coagulation(APC)and endoscopic mucosal resection(EMR)on postoperative fecal occult blood in patients with colonic polyps.Methods 80 patients were selected as the research subjects,and they were divided into APC group and EMR group by random number table method,40 cases in each group.The two groups were treated with APC and EMR groups,respectively.The curative effect was evaluated,and fecal occult blood test(FOBT)results of the two groups were compared.Results The treatment response rates in both groups were higher than 90%,without significant difference between groups.FOBT results showed that the positive rate in the APC group was lower than that in the EMR group(P<0.05).Conclusion Both APC and EMR are effective in treating colonic polyps,but the former had a lower risk of fecal occult blood after the operation.

关 键 词：氩等离子凝固术 内镜下粘膜切除术 结肠息肉 大便潜血试验 

分 类 号：R574.62[医药卫生—消化系统]