内镜下黏膜切除术与高频电切术治疗消化道息肉的疗效对比分析

The clinical effect of endoscopic mucosal resection and high frequency electric cutting in the treatment of digestive tract gastrointestinal polyps

[目的]对比分析内镜下黏膜切除术与高频电切术治疗消化道息肉的疗效及应用价值。[方法]收集我院2011年1月~2015年12月期间的100例直径大于20mm的消化道息肉患者资料,共有息肉175颗;根据切除方法随机分为2组,即内镜黏膜切除术（EMR）组与高频电切术组,EMR组48例（息肉80颗）,电切组52例（息肉95颗）,观察2组手术的并发症及手术后恢复情况。[结果]EMR组的手术切除完整率（97.92%）显著高于电切组（73.08%）,且术后总并发症的发生率（10.42%）显著低于电切组（36.54%）,差异均有统计学意义（P〈0.05）。[结论]EMR治疗较高频电切术效果好,并发症少,且操作简单,易于掌握,是一种安全有效且具有一定临床应用价值的内镜治疗技术。

[Objective]To analyze the clinical effect and application value of endoscopic mucosal resection and high frequency electric cutting in the treatment of digestive tract gastrointestinal polyps.[Methods]100patients with gastroenterology in our hospital were collected from January 2011-December 2015,and there were 175polyps（diameter 5mm）.All patients were randomly divided into 2groups：EMR group including 48cases（80polyps）,high frequency electric cutting group including 52case（95polyps）.The surgery and recovery after treatment of the two groups were compared.[Results]The success rate of successfully cutting in EMR group（97.92%）was significantly higher than high frequency electric cutting group（73.08%）,and the difference was statistically significant（P0.05）;the total incidence of complications in EMR（10.42%）was significantly lower than in cutting group（36.54%）,and the difference was statistically significant（P0.05）.[Conclusion]Endoscopic mucosal resection is a new,effective and safe therapy,which has a high frequency electric cutting effect,fewer complications,simple operation,and easy to master,so it has some clinical application value.