术中不同缝合线在结直肠息肉双镜联合治疗中应用对比

Comparison of Different Sutures on Endoscopy Combined with Laparoscopy in the Treatment of Colorectal Polyps

目的对比术中不同缝合线在结直肠息肉双镜联合治疗中应用效果。方法选取2015年4月~2017年5月于本院行双镜联合术治疗的结直肠息肉患者84例,根据术中使用缝合线的不同将其分为对照组和观察组,各42例。对照组使用常规可吸收线,观察组使用免打结倒刺线。对比两组患者的相关临床指标、术后并发症发生率、疼痛程度以及生活质量。结果两组患者相关临床指标差异无统计学意义(P>0.05);观察组术中肠道缝合时间(14.07±3.20)min比对照组(25.70±10.67)min,差异有统计学意义(P<0.05);两组术后并发症发生,差异无统计学意义(P>0.05);疼痛评分观察组(2.68±1.54)较对照组(5.74±1.88)差异具有统计学意义(P<0.05);根据生活质量评分量表测量两组术后,观察组各项评分均高与对照组,差异有统计学意义(P<0.05)。结论免打结倒刺线在结直肠息肉双镜联合治疗中可缩短患者伤口缝合时间,减轻患者疼痛。

Objective： To compare the effect of different sutures on endoscopy combined with laparoscopy in the treatment of colorectal polyps. Methods： In total, 84 patients with colorectal polyps were admitted and treated in our hospital from April 2015 to May 2017. They were performed endoscopy combined with laparoscopy, and they were divided into control group（n=42） and test group（n=42） according to different sutures. Patients in control group were given absorbable suture, while patients in test group were given knot-free suture. Postoperatively, the complications, clinical indexes, pain, and patients＇ quality of life were compared between two groups. Results： There were no significant differences two groups in the clinical indexes and complications（P〉0.05）. The suture time of intestines, pain score, life-quality score in test group were significantly better than those in control group [（14.07±3.20） min vs.（25.70±10.67） min], [（2.68±1.54） vs.（5.74±1.88）], respectively（P〈0.05）. Conclusions： Using knot-free suture on endoscopy combined with laparoscopy in the treatment of colorectal polyps can shorten the time of suture, and relief pain.