结直肠息肉内镜下黏膜切除术(EMR)与圈套高频电凝电切术的治疗效果对比及分析

Comparison and analysis of therapeutic effects between endoscopic mucosal resection of colorectal polyps(EMR) and high-frequency electrocoagulation with traps

目的探讨内镜下黏膜切除术(EMR)治疗结直肠息肉患者的疗效及预后康复情况。方法选取2017年4月至2019年4月于本院接受切除术的80例结直肠息肉患者作为研究对象,按照随机数字表法随机分为对照组和实验组,每组40例。实验组利用内镜下黏膜切除术(EMR)进行治疗,对照组采用内镜下圈套高频电凝电切术进行治疗。对比两种不同手术方法医治结直肠息肉的有效性、术中术后并发症的发生率及息肉的再发率。结果实验组患者的治疗有效率高于对照组,实验组患者术中并发症发生率、术后3个月并发症发生率及复发率均明显低于对照组,差异均具有统计学意义(P<0.05)。结论对结直肠息肉患者进行内镜下黏膜切除术(EMR)治疗,可以提高治疗有效率,减少并发症的发生和结直肠息肉复发,具有较高的治疗效果及良好的预后。

Objective To evaluate the efficacy and prognosis of endoscopic mucosal resection(EMR) in the treatment of colorectal polyps.Methods 80 patients with colorectal polyps were randomly divided into control group and experimental group,who underwent resection in our hospital from April 2017 to April 2019,with 40 cases in each group.The experimental group was treated by endoscopic mucosal resection(EMR),and the control group was treated by endoscopic high frequency electrocoagulation.To compare the efficacy of two different surgical methods in the treatment of colorectal polyps,the incidence of complications during and after operation and the recurrence rate of polyps.Results The effective rate of treatment in the experimental group was higher than that in the control group.The incidence of complications and recurrence in the experimental group were significantly lower than those in the control group at 3 months after operation,the difference of the above indexes was statistically significant(P<0.05).Conclusion For patients with colorectal polyps,endoscopic mucosal resection(EMR) can improve the treatment efficiency,reduce the incidence of complications,reduce the recurrence of colorectal polyps,and has a higher therapeutic effect and a good prognosis.