内镜下不同术式治疗结肠息肉的近期疗效及术后复发率比较

Comparison of short-term curative effect and postoperative recurrence rate of patients with colon polyps by different surgical methods under endoscopy

目的:探讨内镜下3种术式[内镜下高频电切术、内镜下氩离子束凝固术、内镜下黏膜切除术(EMR)]治疗结肠息肉的有效性和安全性。方法:选取2017年5月-2019年5月杭州市萧山区第一人民医院收治的150例结肠息肉患者,按手术方式的不同分为A组、B组、C组,各50例。A组采用内镜下高频电切术,B组采用内镜下氩离子束凝固术,组采用EMR,比较3组患者手术情况、临床疗效、并发症及随访情况。结果:B、C组手术时间、临床总有效率明显高于A组(P>0.05),且B、C组间比较差异无统计学意义(P>0.05);3组间术后住院时间、平均息肉个数比较,差异无统计学意义(P>0.05);B、C组不良反应发生率明显低于A组(P>0.05);B、C组间比较,差异无统计学意义(P>0.05);3组随访时间、复发率比较,差异无统计学意义(P>0.05)。结论:相较于内镜下高频电切术,内镜下氩离子束凝固术、EMR治疗结肠息肉患者手术效果更佳,有效率及安全性更高。

Objective:To explore the effectiveness and safety of three endoscopic procedures(endoscopic high-frequency.resection,endoscopic argon ion beam coagulation,and endoscopic mucosal resection)for the treatment of colon polyps.Methods:A total of 150 colon polyps patients admitted to our hospital from May 2017 to May 2019 were selected and divided into groups A,B,and C according to different surgical methods,with 50 cases in each group.Group A used endoscopic high-frequency resection,group B used endoscopic argon ion beam coagula-tion,and group C used endoscopic mucosal resection(EMR).The operation conditions,clinical efficacy,compli-cations,and folow-up were compared among the three groups.Results:The operation time,the total clinical effective rate of group B and group C were apparently higher in comparison with those of group A(P<0.05),and there was no obvious divergence between group B and group C(P>0.05);there was no obvious divergence in postoperative hospital stay and the average number of polyps among the three groups(P>0.05);the incidence of adverse reactions in groups B and C was apparently lower in comparison with that of group A(P<0.05),there was no obvious divergence between groups B and C(P>0.05);there was no obvious divergence in follow-up time and recurrence rate among the three groups(P>0.05).Conclusion:In contrast to endoscopic high-frequency resection,endoscopic argon ion beam coagulation,and EMR have better surgical results for patients with colon pol-yps,with higher efficiency and safety.