电子肠镜下高频电凝电切圈套治疗大肠息肉的效果

Effect of high-frequency electrocoagulation and electric snare in the treatment of colorectal polyps under electronic colonoscope

目的探讨电子肠镜下高频电凝电切圈套治疗大肠息肉的效果。方法选取2017年1月~2018年6月我院收治的172例大肠息肉患者作为研究对象,根据治疗方式的不同将其分为观察组和对照组,每组各86例。观察组患者采用电子肠镜下高频电凝电切圈套治疗,对照组患者采用内镜活检钳钳除治疗。比较两组患者的息肉切除情况、围术期并发症发生情况、手术时间及住院时间。结果观察组患者息肉的完全切除率(97.67%)、整体切除率(100.00%)均高于对照组(82.56%,97.67%),差异有统计学意义(P<0.05);观察组患者的并发症总发生率(18.60%)低于对照组(26.74%),差异有统计学意义(P<0.05);观察组患者的手术时间[(41.85±10.36)min]以及住院时间[(5.32±1.63)d]均短于对照组[(47.67±8.45)min、(7.25±1.24)d],差异有统计学意义(P<0.05)。结论电子肠镜下高频电凝电切圈套治疗大肠息肉,具有安全系数高、并发症发生率低的特点,能够加快患者切口的愈合时间,缩短住院时间,减少患者的身体和生活负担,有较高的临床应用价值。

Objective To investigate the effect of high-frequency electrocoagulation and electric snare under enteroscopy in the treatment of colorectal polyps.Methods A total of 172 patients with colorectal polyps admitted to our hospital from January 2017 to June 2018 were selected as research objects and divided into observation group and control group according to different treatment methods,86 cases in each group.Patients in the observation group were treated with high-frequency electrocoagulation and electric snare under electronic colonoscopy,while patients in the control group were treated with endoscopic biopsy forceps.The polypectomy,perioperative complications,operation time and hospitalization time of the two groups were compared.Results The total removal rate of polyps in the observation group(97.67%)and the overall resection rate(100.00%)were higher than those of the control group(82.56%,97.67%),the differences were statistically significant(P<0.05).The total incidence of complications in the observation group(18.60%)was lower than that in the control group(26.74%),and the difference was statistically significant(P<0.05).The operation time([41.85±10.36]min)and hospitalization time([5.32±1.63]d)in the observation group were shorter than those in the control group([47.67±8.45]min,[7.25±1.24]d),the differences were statistically significant(P<0.05).Conclusion The treatment of colorectal polyps by high frequency electrocoagulation and electric snare under electronic colonoscopy has the characteristics of high safety factor and low incidence of complications.It can speed up wound healing time of patients,shorten hospitalization time,reduce patients′body and life burden,and has high clinical application value.