高频电切术与EMR治疗消化道息肉的效果分析  

Analysis of the effect of high-frequency electroresection and EMR on gastrointestinal polyps

作　　者：鲍英[1] BAO Ying(The Third People's Hospital of Dalian,Dalian 116031,China)

机构地区：[1]大连市第三人民医院,116031

出　　处：《中国实用医药》2024年第15期53-56,共4页China Practical Medicine

摘　　要：目的研究高频电切术与内镜下黏膜切除术(EMR)治疗消化道息肉的效果。方法546例消化道息肉患者,按照互联网系统对患者进行随机分组,将其分为对照组(273例,以高频电切术进行治疗)与指导组(273例,采用EMR进行治疗)。对比两组患者术后并发症发生情况、术后住院时间和排便时间、术中出血量。结果指导组患者术后并发症发生率为8.79%,而对照组患者术后并发症发生率为18.68%,指导组患者术后并发症发生率明显低于对照组,且两组数据对比在统计学上具有明显差异(P<0.05)。指导组患者术后住院时间(6.21±1.05)d和排便时间(11.48±1.88)h明显短于对照组的(8.37±2.68)d、(13.16±3.06)h,且两组数据对比在统计学上具有明显差异(P<0.05)。指导组患者术中出血量为(3.26±1.06)ml,而对照组患者术中出血量为(5.04±1.39)ml,指导组患者术中出血量明显少于对照组,且两组数据对比在统计学上具有明显差异(P<0.05)。结论采用EMR治疗消化道息肉的效果显著。Objective To study the effect of high-frequency electroresection and endoscopic mucosal resection(EMR)on gastrointestinal polyps.Methods A total of 546 patients with gastrointestinal polyps were randomly divided into two groups according to the Internet system,the patients were divided into a control group(273 cases,treated with high frequency electroresection)and a guidance group(273 cases,treated with EMR).The postoperative complications,postoperative hospitalization time and defecation time,and the amount of intraoperative bleeding were compared between the two groups. Results The incidence of postoperative complications was 8.79% in the guidance group, while the incidence of postoperative complications was 18.68% in the control group;the incidence of postoperative complications in the guidance group was significantly lower than that in the control group, and the data between the two groups were statistically significant difference (P<0.05). The postoperative hospitalization time of the guidance group was (6.21±1.05) d and the defecation time was (11.48±1.88) h, which were significantly shorter than (8.37±2.68) d and (13.16±3.06) h in the control group, and the data between the two groups were statistically significant difference (P<0.05). The amount of intraoperative bleeding was (3.26±1.06) ml in the control group, while the amount of intraoperative bleeding was (5.04± 1.39) ml in the control group;the amount of intraoperative bleeding in the guidance group was significantly lower than that in the control group, and the data between the two groups were statistically significant difference (P<0.05). Conclusion EMR is effective in the treatment of gastrointestinal polyps.

关 键 词：内镜下黏膜切除术 消化道息肉 高频电切术 

分 类 号：R57[医药卫生—消化系统]