胃肠镜下氩离子凝固术与高频电圈套电切术治疗大直径胃肠息肉的效果对比

Comparison of effect of argon ion coagulation under gastroenteroscopy and high-frequency electric snare resection in treatment of large-diameter gastrointestinal polyps

目的 探究胃肠道较大息肉患者接受常规内镜下氩离子凝固术与胃肠镜下高频电圈套电切术的疗效差异。方法 回顾性分析选取2021年1月至2022年3月平顶山市第二人民医院择期手术治疗的130例胃肠道较大息肉患者作为研究对象,根据手术方式不同分为对照组和观察组,各65例。予以对照组常规内镜下氩离子凝固术治疗,予以观察组胃肠镜下高频电圈套电切术治疗。评价两组患者一次性治愈率及生活质量;记录两组患者并发症发生情况。结果 对照组一次性治愈率81.54%(53/65),观察组一次性治愈率93.85%(61/65),观察组相比对照组显著更高,两组差异有统计学意义(P<0.05)。观察组消化病生存质量指数(GLQI)总分及各维度得分相比对照组均显著更高,两组差异有统计学意义(P<0.05)。对照组2例迟发出血,2例腹胀,1例穿孔,并发症总发生率7.69%;观察组1例迟发出血,3例腹胀,2例穿孔,并发症总发生率9.23%;两组对比差异无统计学意义(P>0.05)。结论 胃肠镜下高频电圈套电切术应用于胃肠道较大息肉患者中,相比常规内镜下氩离子凝固术效果更好,明显提升一次性治愈率,改善生活质量,安全性较高,值得临床广泛应用。

【Objective】To investigate the difference in efficacy between conventional endoscopic argon plasma coagulation and high-frequency electrical snare resection under gastrointestinal endoscopy in patients with large gastrointestinal polyps.【Methods】A total of 130 patients with large gastrointestinal polyps who underwent elective surgery in the Second People’s Hospital of Pingdingshan City from January 2021 to March 2022 were selected and retrospectively analyzed. The patients were divided into the control group and the observation group according to different operation methods, with 65 cases in each group.The control group was treated with conventional endoscopic argon ion coagulation, and the observation group was treated with high-frequency electric snare electrotomy under gastrointestinal endoscopy. The one-time cure rate and quality of life of the two groups were evaluated;the incidence of complications in the two groups was recorded. 【Results】The one-time cure rate of the control group was 81.54%(53/65), and the one-time cure rate of the observation group was 93.85%(61/65). Compared with the control group, the total score and each dimension score of digestive disease life quality index(GLQI) in the observation group were significantly higher, and there was statistical difference between the two groups(P<0.05). In the control group, there were 2 cases of delayed bleeding, 2 cases of abdominal distension, and 1 case of perforation, and the total incidence of complications was 7.69%;in the observation group, there was 1 case of delayed bleeding, 3 cases of abdominal distension, 2 cases of perforation,and the total incidence of complications was 9.23%;there was no statistical difference between the two groups(P>0.05).【Conclusion】Gastrointestinal endoscopic high-frequency electrical snare resection in patients with large gastrointestinal polyps has better effect than conventional endoscopic argon ion coagulation, significantly improves the one-time cure rate, improves the quality of life, and is safe. It is worthy of wide clinical application.