结肠镜高频电凝电切术治疗结肠息肉的临床效果分析  

Analysis of the Clinical Effect of High-frequency Electrocoagulation and Electric Resection under Colonoscopy in the Treatment of Colonic Polyps

作　　者：张晓 臧夫宁 黄蓓 ZHANG Xiao;ZANG Funing;HUANG Bei(Department of Gastroenterology,Pizhou Hospital of Traditional Chinese Medicine,Pizhou,Jiangsu Province,221300 China)

机构地区：[1]邳州市中医院消化科,江苏邳州221300

出　　处：《中外医疗》2023年第8期62-66,共5页China & Foreign Medical Treatment

摘　　要：目的研究结肠镜高频电凝电切术在结肠息肉治疗中的临床价值。方法方便选择2020年5月—2022年4月在邳州市中医院消化科接受治疗的52例结肠息肉患者为研究对象,依据随机数表法分为对照组(26例,冷圈套切术治疗)、观察组(26例,结肠镜高频电凝电切术治疗)。对比两组治疗效果、并发症发生率、生活质量及预后复发率。结果观察组治疗效果高于对照组,并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.837、4.710,P<0.05)。治疗前两组生存质量指数(GLQI)评分对比,差异无统计学意义(P>0.05);治疗1周后,观察组主观症状、社会活动、心理情绪、生理功能、总评分为(63.59±7.24)分、(14.85±2.13)分、(17.95±2.13)分、(14.85±2.31)分、(113.95±12.03)分,均高于对照组的(57.82±6.31)分、(12.65±2.32)分、(16.12±2.35)分、(12.23±2.52)分、(102.44±11.35)分,差异有统计学意义(t=3.063、3.562、2.942、3.908、3.549,P<0.05)。观察组预后6个月疾病复发率低于对照组,差异无统计学意义(P>0.05)。结论结肠镜高频电凝电切术治疗结肠息肉效果确切,并发症少,安全性高,术后复发率低,可提升患者生活质量。Objective To study the clinical value of colonoscopic high-frequency electrocoagulation and resection in the treatment of colonic polyps.Methods 52 patients with colonic polyps who were treated in the Gastroenterology Department of Pizhou Hospital of Traditional Chinese Medicine from May 2020 to April 2022 were conveniently selected as the research subjects.According to the random number table method,they were divided into the control group(26 cases,treated with cold snare surgery)and the observation group(26 cases,treated with high-frequency electrocoagulation and electric resection by colonoscopy).The treatment effect,incidence of complications,quality of life and recurrence rate of prognosis were compared between the two groups.Results The treatment effect of the observation group was higher than that of the control group,and the incidence of complications was significantly lower than that of the control group,the difference was statistically significant(χ^(2)=4.837,4.710,P<0.05).There was no statistically difference in the scores of digestive disease life quality index(GLQI)before treatment(P>0.05).After 1 week of treatment,the observation group scores were(63.59±7.24)points,(14.85±2.13)points,(17.95±2.13)points,(14.85±2.31)points,(113.95±12.03)points.All were higher than those of the control group(57.82±6.31)points,(12.65±2.32)points,(16.12±2.35)points,(12.23±2.52)points,(102.44±11.35)points,the difference was statistically significant(t=3.063,3.562,2.942,3.908,3.549,P<0.05).The 6-month prognosis rate of disease recurrence in the observation group was lower than that in the control group,the difference was not statistically significant(P>0.05).Conclusion Colonoscopic high-frequency electrocoagulation and resection is effective in the treatment of colonic polyps,with few complications,high safety,low postoperative recurrence rate,and can improve the quality of life of patients.

关 键 词：结肠镜 高频电凝电切术 结肠息肉 并发症 生活质量 

分 类 号：R735[医药卫生—肿瘤]