内镜下黏膜切除术治疗胃肠道息肉的临床价值分析  

Analysis of Clinical Value of Endoscopic Mucosal Resection for the Treatment of Gastrointestinal Polyps

作　　者：池娟 郑东阳[1] CHI Juan;ZHENG Dongyang(Department of Gastroenterology,Xinglin Branch of the First Affiliated Hospital of Xiamen University,Xiamen 361022,Fujian,China)

机构地区：[1]厦门大学附属第一医院杏林分院消化内科,福建厦门361022

出　　处：《中外医疗》2024年第18期58-61,共4页China & Foreign Medical Treatment

摘　　要：目的分析内镜下黏膜切除术在胃肠道息肉中的临床价值。方法随机选取2023年1—12月厦门大学附属第一医院杏林分院收治的70例胃肠道息肉患者为研究对象。根据治疗方法不同分为两组,每组35例。参照组采用内镜下电切除术。观察组采用内镜下黏膜切除术。比较两组的息肉一次清除率、炎症因子水平和并发症发生情况及复发情况。结果观察组息肉一次清除率(97.14%)高于参照组(82.86%),差异有统计学意义(χ^(2)=3.968,P<0.05)。术前,两组的炎症因子水平比较,差异无统计学意义(P>0.05);术后,两组的炎性因子水平均升高,但观察组低于参照组,差异有统计学意义(P均<0.05)。观察组的并发症总发生率低于参照组,差异有统计学意义(P<0.05)。观察组的复发率(2.86%)低于参照组(17.14%),差异有统计学意义(P<0.05)。结论相比内镜下电切除术,内镜下黏膜切除术治疗胃肠道息肉,能有效提高息肉一次清除率、降低并发症发生情况,对组织的创伤较轻,并且远期复发率较低,临床治疗价值较高。Objective To investigate the clinical effect of using endoscopic mucosal resection in the treatment of gas-trointestinal polyps in the clinic.Methods Seventy patients with gastrointestinal polyps admitted to Xinglin Branch of the First Affiliated Hospital of Xiamen University from January to December 2023 were randomly selected as study ob-jects.They were divided into two groups according to different treatment methods,with 35 cases in each group.The reference group used endoscopic electrodessication,the observation group used endoscopic mucosal resection.The polyp one-time clearance rate,inflammatory factor level and complication occurrence and recurrence were compared between the two groups.Results The one-time polyp removal rate of the observation group(97.14%)was higher than that of the reference group(82.86%),and the difference was statistically significant(χ^(2)=3.968,P<0.05).Preopera-tively,the levels of inflammatory factors in the two groups were compared,and the difference was not statistically sig-nificant(P>0.05);postoperatively,the levels of inflammatory factors in the two groups were elevated,but the observa-tion group was lower than the reference group,and the differences were statistically significant(all P<0.05).The total complication rate of the observation group was lower than that of the reference group,and the difference was statisti-cally significant(P<0.05).The recurrence rate of the observation group(2.86%)was lower than that of the reference group(17.14%),and the difference was statistically significant(P<0.05).Conclusion Compared with endoscopic elec-troresection,endoscopic mucosal resection for gastrointestinal polyps can effectively improve the polyp one-time clear-ance rate,reduce the incidence of complications,less trauma to tissues,lower long-term recurrence rate,and higher clinical value.

关 键 词：内镜下黏膜切除术 胃肠道息肉 清除率 炎症因子水平 复发率 

分 类 号：R57[医药卫生—消化系统]