EMR法治疗消化道难治性息肉32例的疗效观察

Thirty two patients with refractory gastrointestinal polyps treated by EMR method

目的分析内镜黏膜切除术(EMR)治疗消化道难治性息肉的临床资料。方法选取我院2009年5月至2013年5月32例消化道难治性息肉患者采用EMR进行息肉切除治疗为观察组,选取同期32例难治性息肉患者进行普通的内镜下高频电切除术治疗作为对照组,两组标本送病理检查,观察疗效、近期及远期并发症和内镜随访。结果观察组所有病例均一次性完成切除,切除成功率100%,1例术后出血,经内镜下止血后好转,无穿孔等严重并发症。随访3个月至2年未见息肉复发。对照组27例患者一次性完成切除,切除率84.38%,5例术后出血,经内镜下止血后好转,随访3个月至2年2例息肉患者复发。由此,观察组切除率明显高于对照组,P<0.05,并发症少于对照组,P<0.05,差异显著具有统计意义。结论 EMR是治疗消化道难治性息肉安全、有效的方法,同时可提供较为完整的病理标本。

Objective To analyze the clinical data of refractory gastrointestinal polyp treated by endo- scopic mucosal resection （EMR）. Methods From May 2009 to May 2013, 32 cases who had refractory diges- tive tract polyps treated by EMR as observation group, another 32 patients with refractory polyps treated with common endoscopic high-frequency electric resection as control group. Specimens were sent for pathological examination, short - and long-term complications and endoscopic follow-up were observed and recorded. Re- suits In observation group, all polyps were completely resected, the resection rate was 100%. Postoperative hemorrhage occurred in 1 patient who was treated by endoscopic hemostasis thereafter, no other serious com- plications such as perforation occurred. No recurrence was found during 3 months to 2 years follow up. While in control group, polyps in 27 patients were completely resected, the resection rate was 84.38%. Postoperative hemorrhage occurred in 5 cases that were treated by endoscopic hemostasis, Polyp recurrence was observed in 2 cases during the follow up of 3 months to 2 years. Conclusion EMR method was safe and effective in treat- ment of gastrointestinal refractory polyp.