金属内镜夹在小儿结直肠息肉手术中的应用

Application of Metal Endoscopic Folder Amidst the Surgery for Infantile Colorectal Polyps

目的:分析金属内镜夹在小儿结直肠息肉手术中的应用效果。方法:将82例结直肠息肉患儿随机分为对照组和观察组,每组41例。2组患儿均采用内镜下息肉切除术治疗,手术过程中,观察组患儿应用金属内镜夹,对照组患儿不予应用,观察2组患儿手术相关指标、手术前后炎症因子水平以及并发症发生情况。结果:2组患儿手术时间比较差异无统计学意义(P>0.05);观察组患儿术中出血量、排气时间以及住院时间均少于或短于对照组(P <0.05);术前2组患儿炎症因子水平比较差异无统计学意义(P>0.05),术后均有所提高,但观察组明显低于对照组(P <0.05);观察组患儿并发症发生率明显低于对照组(P <0.05)。结论:在小儿结直肠息肉手术中应用金属内镜夹,不但不会延长手术时间,还可有效降低术后患儿炎症因子水平以及并发症发生率,效果显著,具有较高的临床应用价值。

Objective To investigate the application efficacy of metal endoscopic folder(MEF)amidst the surgery for infantile colorectal polyps(ICRP). Methods The 82 pediatric patients with ICRP who all received ICRP resection were randomly divided into observation group(41 cases adopted MEF)and control group(41 cases,without use of MEF);then,both groups’ operative norms,the levels of inflammatory factors before and after surgery,as well as complication status. Results In operating time,and in preoperative levels of inflammatory factors there was no statistical difference between the two groups(P >0.05);But,in intraoperative bleeding volume,in the time for flatus from anus and for hospitalization,in postoperative levels of inflammatory factors(though both groups’ levels were some increased),and in complication incidence observation group was respectively less,shorter,lower,and lower than control groups(all,P <0.05). Conclusion Amidst surgery for ICRP adopting MEF not only do not lengthen operating time,but can effectively reduce pediatric patients’ postoperative levels of inflammatory factors and complication incidence which’s efficacy is significant,thus has higher clinical application value.