无痛消化内镜下高频电刀治疗胃肠息肉临床效果  

Clinical Efficacy of High-frequency Electric Knife Treatment for Gastrointestinal Polyps Under Painless Digestive Endoscopy

作　　者：严晓健 吴行廷 YAN Xiao-jian;WU Xing-ting(Department of Gastroenterology,Nanping Second Hospital,Fujian Nanping 354200)

机构地区：[1]南平市第二医院消化内科,福建南平354200

出　　处：《中国医疗器械信息》2024年第3期125-127,共3页China Medical Device Information

摘　　要：目的:探析应用高频电刀在无痛消化内镜下切除胃肠息肉的临床疗效。方法:选取自2021年8月~2022年8月90例胃肠息肉患者,采用随机数表法将90例患者分为两组,每组45例。对照组给予常规消化内镜下行高频电刀,观察组在无痛消化内镜的情况下使用高频电刀,将两组患者的临床疗效和手术有关参数进行比较;并比较两组术前与术后1d的视觉模拟评分法(VAS)评分情况。结果:观察组疗效明显优于对照组(P<0.05);观察组术后并发症明显少于对照组(P<0.05);观察组手术时间、肛门排气时间和肠鸣音恢复时间明显缩短,术中出血量明显少于对照组(P<0.05);术后,观察组VAS评分低于对照组(P<0.05)。结论:应用高频电刀在胃肠息肉无痛消化内镜手术具有较为积极的意义,能够改善患者疼痛症状,促进手术进程,有效防止并发症,有利于提高治疗效率。Objective:Exploring the clinical efficacy of high-frequency electric knife in painless endoscopic resection of gastrointestinal polyps.Methods:A total of 90 patients with gastrointestinal polyps from August 2021 to August 2022 were selected and divided into two groups using a random number table method,with 45 patients in each group.The control group received high-frequency electric knife under conventional digestive endoscopy,while the observation group received high-frequency electric knife under painless digestive endoscopy.The clinical efficacy and surgical parameters of the two groups of patients are compared;And compare the VAS pain levels before and 1 day after surgery between the two groups.Results:Compared with the control group,the curative effect of observation group was obviously better(P<0.05);And the postoperative complications of observation group were obviously lower than those of control group(P<0.05);The observation group showed significantly shorter surgical time,anal exhaust time,and recovery time of bowel sounds,with significantly less intraoperative bleeding compared to the control group(P<0.05);After surgery,the VAS score of the observation group was lower than that of the control group(P<0.05).Conclusion:The application of high-frequency electric knife in painless endoscopic surgery for gastrointestinal polyps has a relatively positive significance,which can improve patients’pain symptoms,promote the surgical process,effectively prevent complications,and thus improve treatment efficiency.

关 键 词：无痛消化内镜 高频电刀 胃肠息肉 临床效果 并发症 

分 类 号：R573[医药卫生—消化系统]