内镜使用情况的有效研究

An Effective Study on the Use of Endoscopy

目的分析内镜使用情况的有效性,为临床提供参考。方法选取该院收治的126例结肠息肉患者作为观察对象,收治时间为2011年6月—2014年12月,结合患者息肉大小将126例结肠息肉患者分为3组,即小息肉组（〈1 cm）75例,大息肉组（1~2 cm）34例以及巨大息肉组（〉2 cm）17例。根据患者息肉的形态、大小以及蒂的情况选择恰当的手术切除方法,观察126例结肠息肉患者的治疗效果及有效性。结果小息肉组患者的有效切除率为100.00%;大息肉组患者的有效切除率为97.06%（33/34）;巨大息肉组患者的有效切除率为76.47%（13/17）,经比较可知,小息肉组患者和巨大息肉组患者之间的比较差异有统计学意义,且大息肉组和巨大息肉组患者之间的结果比较,差异有统计学意义（P〈0.05）;小息肉组患者的并发症发生率为1.33%（1/75）,大息肉组患者的并发症发生率为11.76%（4/34）,巨大息肉组患者的并发症发生率为23.53%（4/17）,经比较可知,小息肉组患者和大息肉组患者之间的结果比较差异有统计学意义,且小息肉组患者与巨大息肉患者组之间的结果比较差异有统计学意义（P〈0.05）。结论内镜治疗结肠息肉效果安全有效,但为保证治疗效果,降低患者发生并发症的几率,促进预后,应根据结肠息肉患者息肉的大小、形态等情况,对其采取恰当的手术方法,值得推广。

Objective Analysis of the effectiveness of the use of endoscopy, provide a reference for clinical use. Methods In the hospital 126 cases of colon polyps, as the observed object, admitted time is from June 2011 to December 2014,combined with the size of the 126 cases of patients with polyps, colon polyps were divided into three groups, namely small polyps（〈1 cm） 75 cases, large polyp（1-2 cm） 34 cases and the huge polyp group（2 cm） in 17 cases. According to the patient polyp shape, size, and choose the appropriate case pedicle surgery, we observed 126 cases of colon polyps patient outcomes and effectiveness. Results In patients with small polyps effective removal rate 100.00%; group of patients with large polyps resection rate was 97.06% effective（33/34）; huge group of patients polyp removal rate was 76.47% effective（13/17）, the comparison shows there is a comparison result and a huge group of patients with small polyps polyp group significant differences between patients, and there are significant differences in the comparison result and a huge group of large polyps polyps between patients, statistically meaningful（P〈0.05）; small polyp patients the complication rate was 1.33%（1/75）, complications occurred in patients with large polyps group was 11.76%（4/34）, complications huge incidence of polyps in patients 23.53%（4/17）, by comparison, the presence of relatively small polyp patients and the results of large polyps significant differences between patients, and there are significant differences between the results of the comparison group of patients with small polyps and polyps huge group, statistically meaningful（P〈0.05）. Conclusions Endoscopic treatment of colon polyps effect safe and effective, but in order to ensure the therapeutic effect, reduce the chances of patient complications, promote prognosis of patients with colon polyps polyps should be based on size, shape, etc., of their take appropriate surgical approach, worthy of promotion.