无痛肠镜下结肠息肉ESD的效果分析  

The Analysis of the Effect of Painless Colonoscopy on Colon Polyp ESD

作　　者：叶苏芳 YE Su-fang(The Digestive Endoscopy Center of Fujian Provincial Hospital,Fujian Fuzhou 362000)

机构地区：[1]福建省立医院消化内镜中心,福建福州362000

出　　处：《中国医疗器械信息》2025年第4期67-69,共3页China Medical Device Information

摘　　要：目的:探讨无痛肠镜下结肠息肉内镜下黏膜剥离术(ESD)的效果及并发症发生率。方法:选取2023年1月~2024年3月70例结肠息肉患者,随机分为两组,各35例。对照组采用内镜下黏膜切除术(EMR)治疗,观察组采用无痛肠镜下ESD术治疗。比较两组治疗效果。结果:与对照组相比,虽然临床手术更长,但是观察组胃肠道恢复、肛门直肠恢复时长更短,术后并发症发生率、复发率更低,术后SF-36各维度评分更高(P<0.05)。结论:无痛内镜下的ESD应用于结肠息肉患者,能够实现胃肠道功能恢复、临床手术时间以及肛门直肠功能恢复时间的有效缩短。此方法减少了术后并发症的发生率,并且对息肉的复发具有抑制作用,进而提升了患者的生活质量。Objective:To investigate the efficacy and incidence of complications of endoscopic mucosal dissection(ESD)for colon polyps under painless colonoscopy.Methods:70 patients with colon polyps from January 2023 to March 2024 were randomly divided into two groups,with 35 cases in each group.The control group was treated with endoscopic EMR surgery,while the observation group was treated with painless endoscopic ESD surgery.Compare the therapeutic effects of two groups.Results:Compared with the control group,although the clinical surgery was longer,the observation group had a shorter time for gastrointestinal and anorectal recovery,lower incidence of postoperative complications and recurrence,and higher SF-36 scores in all dimensions after surgery(P<0.05).Conclusion:The application of painless endoscopic ESD in patients with colon polyps can effectively shorten the recovery time of gastrointestinal function,clinical surgery time,and anorectal function.This method reduces the incidence of postoperative complications and has an inhibitory effect on polyp recurrence,thereby improving the quality of life of patients.

关 键 词：无痛肠镜 结肠息肉 内镜下黏膜剥离术 效果 并发症 

分 类 号：R656.9[医药卫生—外科学]