窄带光谱成像技术辅助内镜下黏膜切除术治疗大肠息肉的疗效及复发率研究  

Study on the efficacy and recurrence rate of narrow band imaging(NBI)assisted endoscopic mucosal resection in the treatment of colorectal polyps

作　　者：卢亚丽 殷久勇 孙珍珍 LU Yali;YIN Jiuyong;SUN Zhenzhen(Department of Gastroenterology,the NO.154 Center Hospital of PLA,Xinyang,Henan 464000,China;Department of Gastroenterology,Xinyang Central Hospital,Xinyang,Henan 464000,China)

机构地区：[1]信阳一五四医院消化内科,河南信阳464000 [2]信阳市中心医院消化内科,河南信阳464000

出　　处：《现代医药卫生》2025年第2期382-384,389,共4页Journal of Modern Medicine & Health

摘　　要：目的分析应用窄带光谱成像技术(NBI)辅助内镜下黏膜切除术治疗大肠息肉患者的效果及对复发率的影响。方法选取2022年2月至2023年2月信阳一五四医院收治的150例大肠息肉患者,回顾性分析入组者临床资料,以不同术式为依据分为对照组与研究组,分别为69、81例。入组者均由同组医护人员完成手术操作,对照组行内镜下黏膜切除术治疗,研究组行NBI辅助内镜下黏膜切除术治疗,对比2组临床疗效、围手术期指标、并发症发生率及复发率。结果研究组总有效率[96.30%(78/81)]较对照组[84.06%(13/69)]更高(P<0.05);研究组术中出血量[(14.29±3.11)mL]少于对照组[(30.45±4.52)mL](P<0.05);研究组下床活动、住院时间较对照组均更短(P<0.05);研究组并发症发生率、复发率较对照组均更低[2.50%(2/81)vs.18.84%(13/69),1.23%(1/81)vs.13.04%(9/69)](P<0.05)。结论大肠息肉患者应用NBI辅助内镜下黏膜切除术治疗,可减少术中出血量,降低复发率,减少并发症,有利于缩短患者术后恢复时间。Objective To analyze the effect of narrow-band spectral imaging(NBI)assisted endoscopic mucosal resection(EMR)in patients with colorectal polyps and its effect on recurrence rate.Methods A total of 150 patients with colorectal polyps admitted from February 2022 to February 2023 were selected.The clinical data of the enrolled patients were retrospectively analyzed.According to different surgical methods,they were divided into control group and study group,with 69 and 81 cases respectively.All the patients were operated by the same group of medical staff.The control group was treated with endoscopic mucosal resection,and the study group was treated with NBI assisted endoscopic mucosal resection.The clinical efficacy,perioperative indicators,complications and recurrence rate of the two groups were compared.Results The total effective rate of the study group[96.30%(78/81)]was higher than that of the control group[84.06%(13/69)](P<0.05).The intraoperative blood loss of the study group[(14.29±3.11)mL]was less than that of the control group[(30.45±4.52)mL](P<0.05).The time of getting out of bed and hospitalization in the study group was shorter than that in the control group(P<0.05).The incidence of complications and recurrence rate in the study group were lower than those in the control group[2.50%(2/81)vs.18.84%(13/69),1.23%(1/81)vs.13.04%(9/69)](P<0.05).Conclusion The application of NBI-assisted EMR in patients with colorectal polyps can reduce intraoperative blood loss,reduce recurrence rate,reduce complications,and shorten postoperative recovery time.

关 键 词：窄带光谱成像技术 大肠息肉 内镜下黏膜切除术 治疗效果 

分 类 号：R574.6[医药卫生—消化系统]