内镜下黏膜切除术治疗结直肠无蒂息肉的疗效观察

Observation on Efficacy of Endoscopic Mucosal Resection in the Treatment of Colorectal Sessile Polyps

目的观察内镜下黏膜切除术治疗结直肠无蒂息肉的临床疗效。方法选取2018年1月至2018年12月我院收治的结直肠无蒂息肉(直径10~25 mm)患者160例,根据治疗方法不同分为EMR组(内镜下黏膜切除术)和电切组(高频电凝圈套切除术),各80例。对比两组患者的手术时间、住院时间、息肉完全切除率、标本回收率及并发症发生情况。结果两组患者的手术时间、住院时间比较无统计学差异(P>0.05);EMR组的息肉完全切除率、标本回收率分别为99.34%、98.68%,明显高于电切组的94.84%、90.97%(P<0.05);EMR组的并发症发生率明显低于电切组(P<0.05)。结论与高频电凝圈套切除术相比,内镜下黏膜切除术治疗结直肠无蒂息肉患者效果更佳,值得临床推广。

Objective To observe the clinical efficacy of endoscopic mucosal resection in the treatment of colorectal sessile polyps.Methods 160 patients with colorectal sessile polyps(10 to 25 mm diameter)admitted to our hospital from January 2018 to December 2018 were selected and divided into EMR group(endoscopic mucosal resection)and electrocision group(high-frequency electrocoagulation loop resection)according to treatment methods,with 80 cases in each group.The operation time,hospitalization time,complete resection rate of polyps,sample recovery rate and complications were compared between two groups.Results No statistical difference was found in the operation time and hospitalization time between two groups(P>0.05).The complete resection rate of polyps and sample recovery rate in the EMR group were 99.34%and 98.68%respectively,significantly higher than 94.84%and 90.97%in the electrocision group(P<0.05).The incidence of complications in the EMR group was significantly lower than that in the electrocision group(P<0.05).Conclusions Compared with high-frequency electrocoagulation loop resection,endoscopic mucosal resection in the treatment of patients with colorectal sessile polyps has better effect,which is worthy of clinical promotion.