内镜下高频电凝电切除治疗胃息肉临床分析

Clinical Analysis of High Frequency Electrocoagulation for Endoscopic Treatment of Gastric Polyp

目的分析内镜下高频电凝电切除治疗胃息肉的临床疗效。方法方便选择该院自2012年5月—2017年7月收治的100例胃息肉患者,将其随机分为两组,对照组49例和观察组51例。对照组患者给予活检钳钳夹治疗,观察组给予内镜下高频电凝电切治疗,对比两组患者治疗效果。结果观察组患者出血量、手术时间分别为(6.92±4.92)m L、(21.02±3.87)min均明显低于对照组(109.93±4.88)m L、(52.29±4.08)min,相对比差异有统计学意义(P<0.05)。对照组患者并发症发生率为26.53%明显高于观察组9.80%,相对比差异有统计学意义(P<0.05)。对所有患者进行6个月的随访,观察组患者复发率3.92%明显低于对照组14.29%,相对比差异有统计学意义(P<0.05)。结论对于行胃息肉切除者患者来说,要有效的将术中出血量、手术时间减少,将并发症、复发机率降低,可首先考虑内镜下高频电凝电切除。

Objective This paper tries to analyze the clinical effect of endoscopic high frequency electrocoagulation resection for treatment of gastric polyps. Methods 100 patients with gastric polyps in this hospital from May 2012 to July 2017 were selected and were conveniently divided into two groups, with 49 cases in the control group and 51 cases in the observation group. The patients in the control group were given biopsy forceps clamp treatment; the observation group was given endoscopic high frequency electrocoagulation treatment, and the therapy effects of the two groups of patients were compared.Results The bleeding amount and hospitalized time were（6.92±4.92）mL and（21.02±3.87）min respectively, which were significantly lower than those in the control group of（109.93±4.88）mL,（52.29±4.08） min, the difference was significant（P〈0.05）.The incidence of complications in the control group was 26.53%, which was significantly higher than that in the observation group of 9.80%（P〈0.05）. All patients were followed up for 6 months, the relapse rate was 3.92% in the observation group and 14.29% in the control group respectively（P〈0.05）. Conclusion For patients with gastric polyps resection, it is necessary to effectively reduce the amount of intraoperative blood loss, surgery time, to reduce the risk of recurrence, and the endoscopic high frequency electrocoagulation resection should be firstly considered.