内镜下黏膜切除术与高频电凝切除术治疗结直肠腺瘤性息肉的效果观察

Observation of efficacy of endoscopic mucosal resection in treatment and high frequency electrocoagulation resection of colorectal adenomatous polyps

目的探讨内镜下黏膜切除术(EMR)与高频电凝切除术治疗结直肠腺瘤性息肉的效果。方法选取2018年8月至2021年12月中国人民解放军东部战区总医院淮安医疗区收治的78例结直肠腺瘤性息肉患者为研究对象,进行回顾性研究。按照手术方式分为常规组(高频电凝切除术治疗)和试验组(内镜下EMR治疗),各39例。对比两组患者术后胃肠功能恢复时间、手术时间、并发症发生情况及术后的复发情况。结果试验组患者术后胃肠功能恢复时间短于常规组(P<0.05);两组患者手术时间比较,差异无统计学意义(P>0.05)。试验组患者术后并发症总发生率、复发率低于常规组(均P<0.05)。结论与高频电凝切除术相比,内镜下EMR治疗结直肠腺瘤性息肉可减少术后胃肠功能恢复时间,有效降低患者的并发症发生率,降低术后复发率,可以在临床上应用。

Objective To investigate the efficacy of endoscopic mucosal resection(EMR)in treatmen and high frequency electrocoagulation of colorectal adenomatous polyps.Methods From August 2018 to December 2021,78 patients with colorectal adenomatous polyps treated in the Huai'an Medical District,General Hospital of PLA Eastern Theater Command According to the operation method were divided into conventional group(highfrequency electrocoagulation resection)and experimental group(EMR treatment),with 39 cases in each group.The recovery time of gastrointestinal function,length of operation,incidence of complications and recurrence of colorectal adenomatous polyps were compared between the two groups.Results The postoperative recovery time of gastrointestinal function in the experimental group was shorter than that in the conventional group(P<0.05);there was no statistically significant difference in the length of operation(P>0.05).The incidence of complications and the recurrence rate in the experimental group were lower than those in the conventional group(P<0.05).Conclusion Compared with high-frequency electrocoagulation resection,EMR treatment of colorectal adenomatous polyps can reduce the postoperative gastrointestinal function recovery time,effectively reduce the incidence of complications in patients,and reduce the postoperative recurrence rate.It can be applied in clinical practice.