无痛胃镜下高频电凝切除术治疗胃息肉患者的效果

Effect of High Frequency Electrocoagulation Resection under Painless Gastroscopy in the Treatment of Gastric Polyps

目的:探究无痛胃镜下高频电凝切除术治疗胃息肉患者的效果。方法:回顾性分析2021年1-12月将乐县总医院收治的81例胃息肉患者的临床资料,所有患者均已接受为期1年的门诊随访,将40例接受常规胃镜下高频电凝切除术治疗的患者纳入对照组,将41例接受无痛胃镜下高频电凝切除术治疗的患者纳入观察组。比较两组手术相关指标、切除成功率、血流动力学水平、红细胞免疫功能指标水平、复发率。结果:观察组手术时间、胃肠道功能恢复时间均短于对照组,差异有统计学意义(t=3.104、2.857,P<0.05);观察组术中失血量少于对照组,差异有统计学意义(t=3.540,P<0.05)。观察组切除成功率高于对照组,差异有统计学意义(χ^(2)=4.046,P<0.05)。术前两组收缩压(SBP)、舒张压(DBP)水平对比,差异无统计学意义(P>0.05);胃镜成功置入时观察组SBP、DBP水平低于对照组,差异有统计学意义(t=3.062、3.095,P<0.05)。术前两组红细胞C3b受体花环率(RBC-C3bRR)、红细胞免疫复合物花环率(RBC-ICR)水平对比,差异无统计学意义(P>0.05);术后观察组RBC-C3bRR、RBC-ICR水平高于对照组,差异有统计学意义(t=3.520、3.226,P<0.05)。随访1年1期间,观察组复发率低于对照组,差异有统计学意义(χ^(2)=4.501,P<0.05)。结论:采用无痛胃镜下高频电凝切除术治疗胃息肉可以维持血流动力学稳定,减少术中出血量,促进手术快速完成,提高切除成功率,改善红细胞免疫功能,缩短胃肠道功能恢复时间。

Objective:To explore the effect of high frequency electrocoagulation resection under painless gastroscopy in the treatment of gastric polyps.Method:The clinical data of 81 patients with gastric polyps admitted to Jiangle General Hospital from January to December 2021 were retrospectively analyzed.All patients had received 1-year outpatient follow-up.A total of 40 patients received high frequency electrocoagulation resection under routine gastroscopic were included in the control group,and 41 patients received high frequency electrocoagulation resection under painless gastroscopy were included in the observation group.The operation relevant indexes,success rate of resection,hemodynamic level,erythrocyte immune function index level and recurrence rate were compared between the two groups.Result:The operation time and gastrointestinal function recovery time of the observation group were shorter than those of the control group,and the differences were statistically significant(t=3.104,2.857,P<0.05).The intraoperative blood loss in the observation group was less than that in the control group,and the difference was statistically significant(t=3.540,P<0.05).The success rate of resection in the observation group was higher than that in the control group,the difference was statistically significant(χ^(2)=4.046,P<0.05).There were no significant differences in systolic blood pressure(SBP)and diastolic blood pressure(DBP)between the two groups before operation(P>0.05).The levels of SBP and DBP when the gastroscope is successfully inserted in the observation group were lower than those in the control group,and the differences were statistically significant(t=3.062,3.095,P<0.05).There was no significant difference in the red blood cell C3b receptor rosette rate(RBC-C3bRR)and red blood cell immune complex rosette rate(RBC-ICR)between the two groups before operation(P>0.05).The levels of RBC-C3bRR and RBC-ICR after operation in the observation group were higher than those in the control group,and the differences were statistically significant(t=3.520,3.226,P<0.05).During 1-year follow-up,the recurrence rate of observation group was lower than control group,the difference was statistically significant(χ^(2)=4.501,P<0.05).Conclusion:High frequency electrocoagulation resection under painless gastroscopy in the treatment of gastric polyps can maintain hemodynamic stability,reduce intraoperative blood loss,promote the rapid completion of operation,improve the success rate of resection,improve red cell immune function,and shorten the recovery time of gastrointestinal function.