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Effect of Painless Endoscopic High Frequency Electrocoagulation in the Treatment of Gastrointestinal Polyps and its Influence on Complications
刘 冰
(玉山县黄家驷医院/玉山县人民医院消化内科,江西 玉山 334700)
LIU Bing
(Department of Gastroenterology,Yushan County Huangjiasi Hospital/Yushan County People’s Hospital,Yushan 334700,Jiangxi,China)
ndoscopyHigh frequency electrocoagulation resectionGastrointestinal polyps
目的 分析无痛内镜高频电凝切除术对消化道息肉患者的疗效及并发症发生的影响。方法 抽选本院2018年12月-2020年12月收治的消化道息肉患者60例,按照随机数字表法分为研究组和对照组,各30例,对照组采用常规内镜高频电凝切除术治疗,研究组采用无痛内镜高频电凝切除术治疗,比较两组治疗效果、息肉切除情况、手术时间、术后排气时间、术后疼痛评分(VAS)、住院时间及术后并发症发生情况。结果 研究组治疗总有效率为93.33%,高于对照组的73.33%,差异有统计学意义(P<0.05);两组扁平息肉、有蒂息肉、广基息肉完全切除率比较,差异无统计学意义(P>0.05),研究组息肉一次性切除率高于对照组,差异有统计学意义(P<0.05);研究组手术时间、术后排气时间、住院时间短于对照组,差异有统计学意义(P<0.05);研究组VAS评分、并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论 无痛内镜高频电凝切除术可优化消化道息肉患者临床效果,提高息肉一次性切除率,手术时间短,患者恢复快,并发症少,安全性良好。
Objective To analyze the effect and complication of painless endoscopic high frequency electrocoagulation in patients with gastrointestinal polyps.Methods Sixty patients with gastrointestinal polyps admitted to our hospital from December 2018 to December 2020 were selected. According to the by random number table method,they were divided into study group and control group, with 30 cases in each group. The control group was treated with conventional endoscopic high-frequency electrocoagulation, and the study group was treated with painless endoscopic high-frequency electrocoagulation. The treatment effect, polyp resection, operation time, postoperative exhaust time, postoperative pain score (VAS), hospitalization time and postoperative complications were compared between the two groups.Results The total effective rate of treatment in the study group was 93.33%, which was higher than 73.33% in the control group, the difference was statistically significant (P<0.05). There was no significant difference in the complete resection rate of flat polyps, pedicle polyps and sessile polyps between the two groups (P>0.05). The one-time resection rate of polyps in the study group was higher than that in the control group, and the difference was statistically significant (P<0.05). The operation time, postoperative exhaust time and hospitalization time of the study group were shorter than those of the control group, and the difference was statistically significant (P<0.05). The VAS score and complication rate of the study group were lower than those of the control group, and the difference was statistically significant (P<0.05).Conclusion Painless endoscopic high frequency electric coagulation resection can optimize the clinical effect of patients with gastrointestinal polyps, improve the one-time resection rate of polyps, short operation time, rapid recovery, with fewer complications and good safety.


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更新日期/Last Update: 1900-01-01