摘要
目的:比较内镜下黏膜切除术(EMR)与高频电凝套扎术治疗胃肠道息肉的疗效和安全性。方法:将我院2015年1月~2017年10月收治的胃肠道息肉患者112例随机分为单纯圈套组(49例,行高频电凝切除术)和EMR组(63例,行内镜下黏膜切除术);比较两种术式的完整切除率、手术平均时间、术中出血率、术后出血率、术后穿孔率等指标。结果:治疗山田Ⅰ~Ⅱ型息肉,单纯圈套组完整切除率(70.83%)低于EMR组(96.77%)(P<0.05);但治疗山田Ⅲ~Ⅳ型息肉,两组的完整切除率差异无统计学意义(P>0.05)。单纯圈套组术中出血率(22.45%)高于EMR组(6.35%)(P<0.05)。两组的平均手术时间、术后出血率和术后穿孔率等指标差异无统计学意义(P>0.05)。结论:治疗山田Ⅰ~Ⅱ型息肉,内镜下黏膜切除术的疗效和安全性优于高频电凝套扎术。
Objective:To compare the efficacy and safety of endoscopic mueosal resection (EMR) and high frequency eleetroeoagulation in the treatment of gastrointestinal polyps. Methods:A total of 112 patients with gastrointestinal polyps admitted to and treated in our department between January 2015 and October 2017 were randomized into high frequency eleetroeoagulation group (n=49) and EMR group (n= 63). Then the two groups were compared con- ceming the complete resection rate, mean operative time,intraoperative and postoperative bleeding rate, and perforation rate following operation. Results: The complete resection rate was significantly lower in high frequency eleetroeoagulation group (70.83%) than that in EMR group (96.77%) in treating Y amada Ⅰ -Ⅱ type polyps ( P〈 0.05 ), yet the diffrence was insignificant for Yamada Ⅲ- Ⅳ type polyps ( P〉 0.05 ). High frequency eleetroeoagulation re- sulted in higher intraoperative bleeding rate than EMR(22.45% vs. 6.35%) (P〈0.05), yet the difference was not significant between groups regarding mean operative time and incidences of postoperative bleeding and perforation(P〉0.05). Conclusion:EMR can be safer and more effective than high fre- quency eleetroeoagulation in the treatment of Yamada Ⅰ-Ⅱ type polyps.
作者
许峰
XU Feng(Department of Gastroenteroloy,The Second People's llospital of Chizhou City,Chizhou 247000,China)
出处
《皖南医学院学报》
CAS
2018年第5期440-442,共3页
Journal of Wannan Medical College
关键词
消化道息肉
内镜下黏膜切除术
高频电凝套扎术
gastrointestinal polyps
endoscopic mueosal resection
high frequency eleetroeoagulation