内镜下黏膜切除术联合金属钛夹治疗肠息肉的临床效果

Clinical Effect of Endoscopic Mucosal Resection Combined with Metal Titanium Clip in the Treatment of Intestinal Polyps

目的:探讨内镜下黏膜切除术(endoscopic mucosal resection,EMR)联合金属钛夹治疗肠息肉的临床效果。方法:回顾性选取2022年2月—2024年2月和县人民医院消化内科收治的55例接受EMR联合金属钛夹治疗的肠息肉患者作为观察组,选择同期仅接受EMR治疗的55例肠息肉患者作为对照组。比较两组手术时间及术中出血量,术后迟发性出血及术后出血量,术前及出院前血红蛋白(Hb),并发症。结果:两组手术时间、术中出血量比较,差异无统计学意义(P>0.05)。观察组术后迟发性出血率及术后出血量均显著低于对照组,差异有统计学意义(P<0.05)。出院前,对照组Hb水平低于术前,观察组Hb水平高于对照组,差异有统计学意义(P<0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:EMR联合金属钛夹能够降低肠息肉患者术后迟发性出血发生率,减少出血量,具有较好的临床治疗效果及安全性。

Objective:To investigate the clinical effect of endoscopic mucosal resection(EMR)combined with metal titanium clip in the treatment of intestinal polyps.Method:A total of 55 patients with intestinal polyps treated with EMR combined with metal titanium clips admitted to the Gastroenterology Department of He County People's Hospital from February 2022 to February 2024 were retrospectively selected as the observation group,while 55 patients with intestinal polyps treated only with EMR during the same period were selected as the control group.Operation time and intraoperative blood loss volume,postoperative delayed hemorrhage and postoperative blood loss volume,hemoglobin(Hb)before and after discharge,complications were compared between the two groups.Result:There was no significant difference in operation time and intraoperative bleeding volume between the two groups(P>0.05).The postoperative delayed bleeding rate and postoperative blood loss volume in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Before discharge,Hb level in the control group was lower than that before operation,and Hb level in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion:EMR combined with metal titanium clip can reduce the incidence of postoperative delayed bleeding in patients with intestinal polyp,reduce the amount of bleeding,and have good clinical treatment efficacy and safety.