小儿低位有蒂直肠息肉行肛门镜下枪式套扎术的临床分析

Clinical Analysis on Children with Low Rectal Polyps Pedicle Gun Anal Endoscopic Ligation

目的：探讨肛门镜下枪式套扎术治疗小儿低位有蒂直肠息肉的临床效果,以期提高临床诊治水平。方法：选取2010年2月~2014年2月90例小儿低位有蒂直肠息肉患者为研究对象,分成两组,对照组45例,予手法摘除治疗,观察组45例,肛门镜下枪式套扎术治疗,观察治疗后在临床疗效、并发症等方面差异性。结果：视觉疼痛模拟评分,两组治疗中、治疗1h后、治疗1d后比较均有统计学意义（P〈0.05）;并发症,对照组总发生率17.78%,观察组总发生率4.44%,两组比较差异有统计学意义（P〈0.05）;满意度,对照组非常满意为37.78%、总满意度为82.22%,观察组非常满意为51.11%、总满意度为93.33%,两组比较差异有统计学意义（P〈0.05）。结论：肛门镜下枪式套扎术治疗小儿低位有蒂直肠息肉临床效果显著,并发症较低。

Objective： To investigate gun anal endoscopic ligation treatment of children with low rectal polyp pedicle clinical results in order to improve the clinical diagnosis and treatment.Methods ： February 2 0 1 0- 2 0 1 4 Feb. 90 cases of pediatric patients with low rectal polyp pedicle for the study,divided into two groups,a control group of 45 patients,I approach removal treatment,the observation group,45 cases of anal endoscopic gun sets ligation treatment were observed after treatment in terms of clinical efficacy and complications difference.Results： In the visual analogue pain score on the treatment of the two groups after treatment,1h,1d after treatment comparison were statistically significant（P〈0.05）; complications in the control group,the overall incidence of 17.78%,the overall incidence observation group rate of 4.44%,the difference was statistically significant（P〈0.05）; satisfaction in the control group was 37.78% verysatisfied , overall satisfaction was 82.22% in the observation group was 51.11% very satisfied,overall satisfaction 93.33%,the difference was statistically significant（P〈0.05）.Conclusion： Anal endoscopic ligation treatment of children with gun-type low rectal polyp pedicle significant clinical effect,lower complications.