内镜下高频电切术与内镜下氩离子束凝固术治疗大肠息肉的临床效果  

Clinical Effect of Endoscopic High-frequency Electrosurgery and Endoscopic Argon Ion Beam Coagulation in the Treatment of Colorectal Polyps

作　　者：张春梅[1] 张艳敏 ZHANG Chunmei;ZHANG Yanmin(Tengzhou Hospital of Traditional Chinese Medicine,Shandong Province,Tengzhou 277599,China;不详)

机构地区：[1]山东省滕州市中医医院,山东滕州277599

出　　处：《中国医学创新》2023年第24期49-53,共5页Medical Innovation of China

摘　　要：目的:探究内镜下高频电切术与内镜下氩离子束凝固术治疗大肠息肉的效果。方法:选择2019年5月—2022年5月滕州市中医医院收治的大肠息肉患者110例,应用随机数字表法将其分为对照组(内镜下高频电切术)及观察组(内镜下氩离子束凝固术),各55例,对比两组临床指标(手术时间、住院时间、术后排便时间)、治疗有效率、胃肠激素水平[胃泌素(GAS)、胃动素(MOT)、血管活性肠肽(VIP)]、炎症因子[C反应蛋白(CRP)、降钙素原(PCT)、白细胞计数(WBC)]、并发症。结果:观察组手术时间与对照组对比差异无统计学意义(P>0.05),观察组术后排便时间、住院时间均短于对照组,差异均有统计学意义(P<0.05)。对照组治疗有效率低于观察组,差异有统计学意义(P<0.05)。术前,两组GAS、MOT、VIP水平对比差异均无统计学意义(P>0.05);术后,两组GAS、MOT水平均降低,但观察组均高于对照组,差异均有统计学意义(P<0.05);两组VIP均升高,观察组低于对照组,差异均有统计学意义(P<0.05)。术前,两组CRP、PCT、WBC水平对比差异均无统计学意义(P>0.05);术后,两组CRP、PCT、WBC水平均升高,但观察组均低于对照组,差异均有统计学意义(P<0.05)。对照组并发症发生率高于观察组,差异有统计学意义(P<0.05)。结论:对大肠息肉患者实施内镜下氩离子束凝固术治疗,效果显著,可减轻炎症反应,改善胃肠激素水平,减少并发症,促进患者康复。Objective:To investigate the effect of endoscopic high-frequency electrosurgery and endoscopic argon ion beam coagulation in the treatment of colorectal polyps.Method:A total of 110 patients with colorectal polyps admitted to Tengzhou Hospital of Traditional Chinese Medicine from May 2019 to May 2022 were selected and divided into the control group(endoscopic high-frequency electrosurgery)and the observation group(endoscopic argon ion beam coagulation)by applying the random number table method,with 55 cases in each group.The clinical indexes(operative time,hospital stay,postoperative defecation time),treatment efficiency,gastrointestinal hormone levels[gastrin(GAS),motilin(MOT),vasoactive intestinal peptide(VIP)],inflammatory factors[C reactive protein(CRP),procalcitonin(PCT),white blood cell count(WBC)]and complications were compared between the two groups.Result:There was no statistically significant difference in the operative time between the observation group and the control group(P>0.05),the postoperative defecation time and hospital stay in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The treatment efficiency of the control group was lower than that of the observation group,the difference was statistically significant(P<0.05).Before surgery,there were no statistically significant differences in GAS,MOT and VIP levels between the two groups(P>0.05);after surgery,GAS and MOT levels decreased in both groups,but those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);VIP increased in both groups,and that in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).Before surgery,the levels of CRP,PCT and WBC in both groups were not statistically significant(P>0.05);after surgery,the levels of CRP,PCT and WBC in both groups increased,but those in the observation group were lower than those in the control

关 键 词：内镜下高频电切术 内镜下氩离子束凝固术 大肠息肉 胃肠激素 炎症因子 

分 类 号：R657.1[医药卫生—外科学]