探讨内镜下黏膜切除术和氩离子凝固术对结肠息肉的临床疗效

The efficacy of endoscopic mucosal resection and argon ion coagulation in colon polyps

目的探讨内镜下黏膜切除术(EMR)和氩离子凝固术(APC)对结肠息肉的临床疗效。方法选取2018年5月至2020年5月如皋广慈医院消化内科收治的74例结肠息肉患者作为研究对象,依据随机数字表法分为两组,各37例。EMR组接受内镜下黏膜切除术,APC组接受氩离子凝固术,比较两组手术治疗效果、术后粪便隐血试验阳性率及术后并发症发生率。结果两组治愈率比较差异无统计学意义。两组患者粪便隐血试验阳性率、手术时间、住院时间比较差异无统计学意义。EMR组术后并发症发生率显著高于APC组(P<0.05)。结论EMR,APC治疗结肠息肉效果相当,值得临床推广。

Objective To evaluate the efficacy of endoscopic mucosal resection(EMR)and argon plasma coagulation(APC)in colonic polyps.Methods A total of 74 patients with colon polyps admitted to Department of Gastroenterology in Rugao Guangci Hospital from May 2018 to May2020 were selected as study subjects.They were divided into EMR group and APC group according to random number table method,with 37 cases in each group.EMR group received endoscopic mucosal resection,and APC group received argon ion coagulation.The surgical treatment effect,the positive rate of fecal occult blood test and the incidence of postoperative complications were compared between the two groups.Results There was no significant difference in the cure rate between the two groups.There was no significant difference in fecal occult blood test positive rate,operation time and hospital stay between the two groups.The incidence of postoperative complications in EMR group was significantly higher than that in APC group(P<0.05).Conclusion EMR and APC have similar effect in the treatment of colonic polyps,which is worthy of promotion.