内镜下黏膜切除术与高频电切术治疗结肠息肉的疗效比较

Comparison on the Effect of Polyposis Coli Surgically Treated with Endoscopic Piecemeal Mucosal Resection,and with High-frequency Electrosection

为分析高频电切术与内镜下黏膜切除术治疗结肠息肉的效果评价,将108例结肠息肉患者随机分为A、B 2组,每组54例。A组患者采用内镜下黏膜切除术治疗,B组患者采用内镜下高频电切术治疗,比较2组患者的疗效、围手术相关指标、生活质量评分及术后并发症发生率情况。结果显示,A组患者有效率高于B组(P <0.05),A组患者手术时间、术后禁食时间、住院时间均短于B组(P <0.05),术中出血量少于B组(P <0.05);A组患者生活质量评分高于B组(P <0.05);A组患者术后并发症发生率低于B组(P <0.05)。结果表明,内镜下黏膜切除术可作为治疗结肠息肉的首选术式,具有一定的借鉴价值。

In order to evaluate the effect of endoscopic piecemeal mucosal resection(EMR)and high-frequency electrosection(HFES)in the treatment of polyposis coli(PC),authors randomly divided 108 PC patients into group A and group B,54 cases for each;Group A received EMR,group B received HFES;then both groups’ effect,relevant perioperative norms,score rating on quality of life,and postoperative complication incidence were compared.As results,in the effective rate,the time of opration,postoperative fasting and hospitalization,intraoperative bleeding and score rating on quality of life,as well as postoperative complication incidence,group A was respectively higher,shorter,less and higher,as well as lower than control group(all,P <0.05).Results show that in opting aprocedure for PC EMR could be the first one,which has certain reference significance.