内镜下黏膜切除术治疗消化道难治性息肉患者的效果

Effects of endoscopic mucosal resection on patients with refractory polyps in the digestive tract

目的:观察内镜下黏膜切除术治疗消化道难治性息肉患者的效果。方法:选取90例消化道难治性息肉患者为研究对象,按照入院先后顺序分为对照组和观察组各45例。对照组采用常规内镜下高频电切除术治疗,观察组采用内镜下黏膜切除术治疗,比较两组临床相关指标水平、疗效和并发症发生率。结果:两组手术时间、术中出血量比较,差异均无统计学意义(P>0.05);观察组术后排便时间短于对照组,差异有统计学意义(P<0.05);观察组一次性切除成功率高于对照组,术后复发率和并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论:内镜下黏膜切除术治疗消化道难治性息肉患者可改善临床相关指标水平,提高一次性切除成功率,以及降低术后复发率和并发症发生率,优于常规内镜下高频电切除术治疗效果。

Objective:To observe effects of endoscopic mucosal resection on patients with refractory polyps in the digestive tract.Methods:90 patients with refractory polyps in the digestive tract were selected as the research objects,and were divided into control group and observation group according to the order of admission,45 cases in each group.The control group was treated with conventional endoscopic highfrequency electric resection,while observation group was treated with endoscopic mucosal resection.The levels of clinical related indicators,the curative effects and the complication rate were compared between the two groups.Results:There were no statistically significant differences in the operation time and the intraoperative blood loss between the two groups(P>0.05).The postoperative defecation time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The one-time resection success rate in the observation group was higher than that in the control group;the postoperative recurrence rate and the complication rate were lower than those in the control group;and the differences were statistically significant(P<0.05).Conclusions:Endoscopic mucosal resection in the treatment of the patients with refractory polyps in the digestive tract can improve the levels of clinical related indicators,increase the one-time resection success rate,and reduce the recurrence rate and the complication rate after the surgery.Moreover,it is superior to conventional endoscopic high-frequency electric resection.