无痛胃肠镜下氩气刀切除术治疗胃肠息肉疗效观察  

Efficacy of argon knife resection under painless gastrointestinal endoscope in the treatment of gastrointestinal polyps

作　　者：贺永强[1] 张欢 李静[1] HE Yong-qiang;ZHANG Huan;LI Jing(Beijing University of Chinese Medicine Dongzhimen Hospital Tongzhou Branch Spleen and Gastroenterology Division II,Beijing 101121,China)

机构地区：[1]北京中医药大学东直门医院通州院区脾胃病科二区,北京101121

出　　处：《川北医学院学报》2023年第2期229-232,共4页Journal of North Sichuan Medical College

基　　金：北京中医药大学青年教师项目(No.2019-BUCMXJKY026)。

摘　　要：目的:观察无痛胃肠镜下氩气刀切除术治疗胃肠息肉疗效。方法:回顾性分析104例胃肠息肉患者的临床资料,根据手术方法不同分为无痛组(n=52)和普通组(n=52)。无痛组采用无痛内镜下氩气刀切除术治疗;普通组采用普通内镜下氩气刀切除术治疗。比较两组患者围手术期指标、并发症,术后30 min及3、6、12 h疼痛情况,术前及术后6 h血清疼痛应激指标水平及术后6个月内复发率。结果:无痛组患者手术时间、术中出血量、术后肠鸣音恢复时间、术后并发症发生率均低于普通组(P<0.05);两组患者息肉一次清除率比较,差异无统计学意义(P>0.05);无痛组患者各个时间点疼痛VAS评分均低于普通组(P<0.05);术后6 h,两组患者血清Cor、PGE2及CRP水平均较术前升高(P<0.05),但无痛组术后6 h血清Cor、PGE2及CRP水平均低于普通组(P<0.05);两组复发率比较,差异无统计学意义(P>0.05)。结论:无痛胃肠镜下氩气刀切除术治疗胃肠息肉疗效优于普通内镜下氩气刀切除术,术后并发症低,能减轻患者疼痛状况,改善应激状态,值得临床推广应用。Objective:To observe the efficacy of argon knife resection under painlessgastrointestinal endoscope in the treatment of gastrointestinal polyps.Methods:The clinical data of 104 patients with gastrointestinal polyps were retrospectively analyzed, and the patients were divided into painless group(n=52,argon knife resection underpainlessgastrointestinal endoscope) and ordinary group(a n=52,rgon knife resection under ordinary endoscope) according to different surgical methods.The perioperative indicators and complications, pain statusat 30 minutes, 3,6 and 12 h after surgery, levels of serum pain stress indicators before surgery and at 6 hours after surgery and recurrence rate within 6 months after surgery were compared between the two groups.Results:The surgical time, intraoperative blood loss, postoperative bowel sound recovery time and postoperative complication rate in painless group were lower than those in ordinary group(P<0.05),but there was no significant difference in the one-time polyp clearance rate between the two groups(P>0.05).VAS score of pain in painless group at each time point was lower than that in ordinary group(P<0.05).At 6 hours after surgery, the levels of Cor, PGE2 and CRP in the two groups were all enhanced compared with those before surgery(P<0.05),but the levels of Cor, PGE2 and CRP in painless group at 6 hours after surgery were lower than those in ordinary group(P<0.05).There was no significant difference in recurrence rates between the two groups(P>0.05).Conclusion:Argon knife resection under painless gastrointestinal endoscopy is superior to argon knife resection under ordinary endoscopy in the treatment of patients with gastrointestinal polyps.The postoperative complications are low, which can reduce the pain of patients and improve the stress state, and is worthy of clinical promotion.

关 键 词：无痛胃肠镜 氩气刀切除术 胃肠息肉 并发症 

分 类 号：R574[医药卫生—消化系统]