无痛肠镜下行肠息肉高频电凝切除术临床分析(1)
DOI：10.16662/j.cnki.1674-0742.2018.14.096
[摘要] 目的 探究无痛肠镜下采取高频电凝切除术治疗患者肠息肉的临床效果。 方法 研究样本共86例，方便选自2012年1月—2018年2月入院治疗的肠息肉患者，随机分为两组，对照组患者采用普通内镜下行肠息肉高频电凝切除术，观察组患者采取无痛肠镜下行高频电凝切除术，比较两组患者的治疗效果。结果 两组患者息肉完全切除率均为97.67%(P>0.05)；对照组患者中存在1例切除残留，所占比例为2.33%，与观察组相比差异有统计学意义(χ2=1.012，P<0.05)；对照组不良反应发生率为18.61%，观察组为6.98%(χ2=2.606，P<0.05)。 结论 应用无痛肠镜下高频电凝切除术治疗肠息肉切除效果好，患者手术时间创面愈合时间以及住院时间短，不良发应发生率低，值得临床推广。
[关键词] 无痛肠镜；高频电凝切除术；肠息肉；临床效果
[中图分类号] R735 [文献标识码] A [文章编号] 1674-0742(2018)05(b)-0096-03
[Abstract] Objective This paper tries to investigate the clinical effect of high-frequency electrocoagulation resection for patients with intestinal polyps under painless colonoscopy. Methods A total of 86 patients were enrolled conveniently in this study. Intestinal polyps from January 2012 to February 2018 were randomized into two groups. Patients in the control group underwent high-frequency coagulation resection of intestinal polyps using standard endoscopy. Painless colonoscopy was performed with high-frequency coagulation resection and the treatment effects of the two groups of patients were compared. Results The complete polypectomy rate in both groups was 97.67% (P>0.05)； in the control group， there was 1 case of residual resection， accounting for 2.33%， which was significantly different from the observation group (χ2=1.012，P<0.05). The incidence of adverse reactions in the control group was 18.61%. The observation group was 6.98% (χ2=2.606，P<0.05). Conclusion The application of high-frequency electrocoagulation under painless colonoscopy for the treatment of intestinal polyps has a good effect. The time of wound healing and the length of hospital stay are short in operation time， and the incidence of adverse cases is low. It is worthy of clinical promotion.
[Key words] Painless colonoscopy； High frequency coagulation； Intestinal polyps； Clinical effect
腸息肉是由于肠道粘膜异常增生形成的一种临床上常见的消化道疾病。由于肠道处于长期的炎症环境刺激导致肠道组织突出于肠腔内形成的一种良性病变[1]。常见的病变部位包括直肠以及乙状直肠；临床治疗中肠息肉可根据发病机理的不同可分为腺瘤息肉与炎症息肉。患者患病后会有明显的排便困难、腹胀腹痛以及大便便血等症状，给患者的生命健康与生活质量带来不良影响[2]。此前临床常用的治疗肠息肉的方法为普通内镜下高频电凝切除术，该方法虽然能够达到切除肠息肉的治疗目的，但同时存在手术时间长、患者不适感明显、出血量大等缺点[3]。而随着技术的不断发展，无痛肠镜逐渐应用到肠息肉的切除治疗中来[4]。该文中，通过设置对照的方法比较使用普通内镜以及无痛内镜行肠息肉高频电凝切除术的效果对比，从而评价无痛内镜下肠息肉高频电凝切除术疗效。现将2012年1月—2018年2月入院治疗的肠息肉患者86例研究结果报道如下。
1 资料与方法
1.1 一般资料
研究样本方便选自入院治疗的肠息肉患者86例，患者均知情同意，研究经伦理委员会批准，将患者随机分为两组，对照组43例患者中男性21例，女性22例，平均年龄(49.33±6.25)岁，平均息肉直径为(36.38±10.74)mm。观察组43例患者中男性22例，女性21例，平均年龄(48.69±7.06)岁，平均息肉直径为(37.06±9.89)mm。两组患者一般资料差异无统计学意义(P>0.05)，可行组间比较。, http://www.100md.com(樊炳辉)
[摘要] 目的 探究无痛肠镜下采取高频电凝切除术治疗患者肠息肉的临床效果。 方法 研究样本共86例，方便选自2012年1月—2018年2月入院治疗的肠息肉患者，随机分为两组，对照组患者采用普通内镜下行肠息肉高频电凝切除术，观察组患者采取无痛肠镜下行高频电凝切除术，比较两组患者的治疗效果。结果 两组患者息肉完全切除率均为97.67%(P>0.05)；对照组患者中存在1例切除残留，所占比例为2.33%，与观察组相比差异有统计学意义(χ2=1.012，P<0.05)；对照组不良反应发生率为18.61%，观察组为6.98%(χ2=2.606，P<0.05)。 结论 应用无痛肠镜下高频电凝切除术治疗肠息肉切除效果好，患者手术时间创面愈合时间以及住院时间短，不良发应发生率低，值得临床推广。
[关键词] 无痛肠镜；高频电凝切除术；肠息肉；临床效果
[中图分类号] R735 [文献标识码] A [文章编号] 1674-0742(2018)05(b)-0096-03
[Abstract] Objective This paper tries to investigate the clinical effect of high-frequency electrocoagulation resection for patients with intestinal polyps under painless colonoscopy. Methods A total of 86 patients were enrolled conveniently in this study. Intestinal polyps from January 2012 to February 2018 were randomized into two groups. Patients in the control group underwent high-frequency coagulation resection of intestinal polyps using standard endoscopy. Painless colonoscopy was performed with high-frequency coagulation resection and the treatment effects of the two groups of patients were compared. Results The complete polypectomy rate in both groups was 97.67% (P>0.05)； in the control group， there was 1 case of residual resection， accounting for 2.33%， which was significantly different from the observation group (χ2=1.012，P<0.05). The incidence of adverse reactions in the control group was 18.61%. The observation group was 6.98% (χ2=2.606，P<0.05). Conclusion The application of high-frequency electrocoagulation under painless colonoscopy for the treatment of intestinal polyps has a good effect. The time of wound healing and the length of hospital stay are short in operation time， and the incidence of adverse cases is low. It is worthy of clinical promotion.
[Key words] Painless colonoscopy； High frequency coagulation； Intestinal polyps； Clinical effect
腸息肉是由于肠道粘膜异常增生形成的一种临床上常见的消化道疾病。由于肠道处于长期的炎症环境刺激导致肠道组织突出于肠腔内形成的一种良性病变[1]。常见的病变部位包括直肠以及乙状直肠；临床治疗中肠息肉可根据发病机理的不同可分为腺瘤息肉与炎症息肉。患者患病后会有明显的排便困难、腹胀腹痛以及大便便血等症状，给患者的生命健康与生活质量带来不良影响[2]。此前临床常用的治疗肠息肉的方法为普通内镜下高频电凝切除术，该方法虽然能够达到切除肠息肉的治疗目的，但同时存在手术时间长、患者不适感明显、出血量大等缺点[3]。而随着技术的不断发展，无痛肠镜逐渐应用到肠息肉的切除治疗中来[4]。该文中，通过设置对照的方法比较使用普通内镜以及无痛内镜行肠息肉高频电凝切除术的效果对比，从而评价无痛内镜下肠息肉高频电凝切除术疗效。现将2012年1月—2018年2月入院治疗的肠息肉患者86例研究结果报道如下。
1 资料与方法
1.1 一般资料
研究样本方便选自入院治疗的肠息肉患者86例，患者均知情同意，研究经伦理委员会批准，将患者随机分为两组，对照组43例患者中男性21例，女性22例，平均年龄(49.33±6.25)岁，平均息肉直径为(36.38±10.74)mm。观察组43例患者中男性22例，女性21例，平均年龄(48.69±7.06)岁，平均息肉直径为(37.06±9.89)mm。两组患者一般资料差异无统计学意义(P>0.05)，可行组间比较。, http://www.100md.com(樊炳辉)