无痛电子肠镜下黏膜切除术治疗肠息肉患者的效果

Efficacy of Painless Electronic Enteroscopic Mucosal Resection in the Treatment of Patients with Intestinal Polyps

目的:探讨无痛电子肠镜下黏膜切除术治疗肠息肉患者的效果。方法:回顾性选取2021年1月-2023年6月宜兴市官林医院收治的102例肠息肉患者。根据不同手术方案将其分为对照组和研究组,各51例。对照组接受常规电子肠镜下黏膜切除术,研究组接受无痛电子肠镜下黏膜切除术。比较两组临床疗效、并发症、围手术期指标、术后恢复指标、生命体征、炎症因子。结果:研究组总有效率高于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。研究组手术时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。研究组术后首次排气时间、首次排便时间均早于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。研究组舒张压、收缩压、心率均低于对照组,差异有统计学意义(P<0.05)。术后,两组C反应蛋白、降钙素原、白细胞介素-1、白细胞介素-6水平均降低,研究组C反应蛋白、降钙素原、白细胞介素-1、白细胞介素-6水平均低于对照组,差异有统计学意义(P<0.05)。结论:肠息肉患者手术治疗中采用无痛电子肠镜下黏膜切除术效果显著,术后并发症少,手术及恢复指标好,患者术中生命体征平稳,术后炎症水平低。

Objective:To investigate the efficacy of painless electronic enteroscopic mucosal resection in the treatment of patients with intestinal polyps.Method:A total of 102 patients with intestinal polyps treated in Yixing Guanlin Hospital from January 2021 to June 2023 were retrospectively selected.The patients were divided into control group and study group according to different surgical plans,51 cases in each group.The control group received conventional electronic colonoscopy mucosal resection,and the study group received painless electronic colonoscopy mucosal resection.The clinical efficacy,complications,perioperative indexes,postoperative recovery indexes,vital signs and inflammatory factors were compared between the two groups.Result:The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complication of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).The operation time of the study group was shorter than that of the control group,and the amount of intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05).The first postoperative exhaust time and first defecation time of the study group were earlier than those of the control group,and the length of hospitalization was shorter than that of the control group,the differences were statistically significant(P<0.05).The diastolic blood pressure,systolic blood pressure and heart rate of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).After operation,the levels of C-reactive protein,procalcitonin,interleukin-1 and interleukin-6 in both groups were decreased,and the levels of C-reactive protein,procalcitonin,interleukin-1 and interleukin-6 in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:In the surgical treatment of patients with intestinal polyps,the effect of painless electronic colonoscopy mucosal resection is significant,with fewer postoperative complications and better surgical and recovery indicators.The patients'vital signs in the operation were stable and the postoperative inflammation level was low.