结肠镜辅助冷圈套切术与高频电凝电切术治疗结-直肠小息肉患者的效果  

Efficacy of Colonoscope-assisted Cold Snare Resection and High-frequency Electrocoagulation Resection in the Treatment of Patients with Nodular-rectal Small Polyp

作　　者：许霞 XU Xia(Xingren Municipal People's Hospital,Xingren 562300,China)

机构地区：[1]兴仁市人民医院,贵州兴仁562300

出　　处：《中外医学研究》2024年第12期110-113,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析对比结肠镜辅助冷圈套切术与高频电凝电切术治疗结-直肠小息肉患者的效果。方法:选取2019年1月—2023年1月兴仁市人民医院收治的70例结-直肠小息肉患者作为研究对象,按随机数表法分为两组,各35例。对照组行结肠镜辅助高频电凝电切术,观察组行结肠镜辅助冷圈套切术。比较两组手术情况、应激反应、疼痛因子水平及并发症发生情况。结果:两组息肉切除数比较,差异无统计学意义(P>0.05);观察组息肉切除时间短于对照组,息肉完整切除率高于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。术前,两组去甲肾上腺素(NE)、皮质醇(Cor)、肾上腺素(E)、前列腺素E_(2)(PGE_(2))、P物质(SP)比较,差异无统计学意义(P>0.05);术后,观察组NE、Cor、E、PGE_(2)、SP低于对照组,差异有统计学意义(P<0.05)。结论:结肠镜辅助冷圈套切术治疗结-直肠小息肉患者效果更为显著,能够缩短息肉切除时间,提升息肉切除完整率,引起的应激反应、疼痛更轻,且并发症更少。Objective:To analyze and compare the effect of colonoscope-assisted cold snare resection and high-frequency electrocoagulation resection in the treatment of nodular-rectal small polyp.Method:A total of 70 patients with nodular-rectal small polyp admitted to Xingren Municipal People's Hospital from January 2019 to January 2023 were selected as the study objects and divided into two groups according to random number table method,with 35 cases in each group.The control group underwent colonoscopeassisted high-frequency electrocoagulation resection,and the observation group underwent colonoscope-assisted cold snare resection.The operation situation,stress response,pain factor level and complications were compared between the two groups.Result:There was no significant difference in the number of polypectomy between the two groups(P>0.05).The polyp removal time of observation group was shorter than that of control group,the complete polyp removal rate was higher than that of control group,and the complication rate was lower than that of control group,the differences were statistically significant(P<0.05).Before operation,there were no significant differences in norepinephrine(NE),cortisol(Cor),epinephrine(E),prostaglandin E_(2)(PGE_(2))and substance P(SP)between the two groups(P>0.05).After operation,NE,Cor,E,PGE_(2)and SP in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Colonoscope-assisted cold snare resection is more effective in the treatment of patients with nodular-rectal small polyp,which can shorten the time of polypectomy,improve the complete rate of polypectomy,cause less stress reaction,pain,and fewer complications.

关 键 词：结-直肠小息肉 结肠镜 冷圈套切术 高频电凝电切术 并发症 

分 类 号：R656[医药卫生—外科学]