内镜下冷切除术对消化道息肉患者的疗效及并发症的影响

The Effect of Endoscopic Cold Resection on the Efficacy of Patients with Gastrointestinal Polyps and the Occurrence of Complications

目的 探讨内镜下冷切除术对消化道息肉患者的临床疗效和并发症发生影响。方法 非随机选取2022年6月—2023年6月贵州省铜仁市石阡县中医院收治的84例消化道息肉患者为研究对象,并根据治疗方式不同分为常规组和冷切除组,各42例。常规组应用内镜电切术,冷切除组应用内镜下冷切除术,比较两组患者术中情况术后恢复情况、手术前后血清炎性因子水平及并发症发生率。结果 冷切除组手术时间、首次排便时间、住院时间均短于常规组,术中出血量低于常规组,差异有统计学意义(P均<0.05)。冷切除组一次性切除成功率高于常规组,差异有统计学意义(P<0.05),但两组术后复发率比较,差异无统计学意义(P>0.05)。术前两组患者炎性因子水平对比,差异无统计学意义(P均>0.05),术后冷切除组炎性因子水平低于常规组,差异有统计学意义(P均<0.05)。冷切除组并发症发生率为4.76%(2/42),低于常规组的19.05%(8/42),差异有统计学意义(χ^(2)=4.086,P<0.05)。结论 对消化道息肉患者实施内镜下冷切除术,可有效缩短手术时间,降低出血量,手术更为安全,术后炎症反应较轻,并发症发生情况较少,利于患者术后恢复。

Objective To investigate the clinical efficacy of endoscopic cold resection on patients with gastrointestinal polyps and the effect of complications.Methods A total of eighty-four patients with gastrointestinal polyps admitted to Shiqian County Hospital of Traditional Chinese Medicine in Tongren City,Guizhou Province from June 2022 to June 2023 were non-randomly selected as the study objects,and were divided into routine group and cold resection group according to different treatment methods,with forty-two cases in each group.Endoscopic electrotomy was performed in the conventional group,and endoscopic cold resection was performed in the cold resection group.Intraoperative and postoperative recovery,serum inflammatory factor levels before and after surgery and incidence of complications were compared between the two groups.Results The duration of operation,first defecation and hospital stay in the cold re-section group were shorter than those in the conventional group,and the amount of intraoperative blood loss was lower than that in the conventional group,the differences were statistically significant(all P<0.05).The success rate of one-time resection in the cold resection group was higher than that in the conventional group,the difference was statisti-cally significant(P<0.05),but there was no statistically significant difference in the postoperative recurrence rate be-tween the two groups(P>0.05).There were no statistical significances in the level of inflammatory factors between the two groups before surgery(both P>0.05),and the level of inflammatory factors in the cold resection group was lower than that in the conventional group after surgery,the differences were statistically significant(both P<0.05).The inci-dence of complications in the cold resection group was 4.76%(2/42),lower than 19.05%(8/42)in the conventional group,and the difference was statistically significant(χ^(2)=4.086,P<0.05).Conclusion Endoscopic cold resection for patients with digestive tract polyps can effectively shorten the operation time,reduce the amount of blood loss,and make the operation safer,with less postoperative inflammation and fewer complications,which is conducive to postop-erative recovery of patients.