首页|内镜下冷圈套切除术与内镜下热圈套切除术治疗结肠息肉的临床效果

内镜下冷圈套切除术与内镜下热圈套切除术治疗结肠息肉的临床效果

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目的 探讨内镜下冷圈套切除术(CSP)与内镜下热圈套切除术(HSP)治疗结肠息肉的临床效果.方法 选取2022 年 1 月—2023 年 1 月该院收治的 60 例结肠息肉患者为研究对象,按随机数字表法将其分为对照组与观察组,各30 例.对照组采用HSP治疗,观察组采用CSP治疗.比较两组手术情况、疼痛因子水平、息肉完整切除率及术后并发症发生率.结果 观察组手术时间、息肉切除时间分别为(16.57±1.32)min、(3.17±0.32)min,均短于对照组的(21.35±2.47)min、(3.98±0.41)min,组间差异有统计学意义(P<0.05).观察组术后前列腺素E2、P物质水平分别为(170.32±15.43)pg/mL、(3.25±0.42)μg/mL,均低于对照组的(196.54±17.54)pg/mL、(4.19±0.47)μg/mL,组间差异有统计学意义(P<0.05).观察组息肉完整切除率高于对照组,术后并发症发生率低于对照组,组间差异有统计学意义(P<0.05).结论 结肠息肉患者采用CSP治疗,相较于HSP,可取得更为显著的治疗效果,不仅可提高息肉完整切除率,且创伤更小,安全可靠.
Clinical Effect of Endoscopic Cold Snare Polypectomy and Endoscopic Hot Snare Polypectomy in the Treatment of Colon Polyps
Objective To investigate the clinical effect of endoscopic cold snare polypectomy(CSP)and endoscopic hot snare polypectomy(HSP)in the treatment of colonic polyps.Methods Sixty patients with colon polyps admitted to our hospital from January 2022 to January 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 30 cases in each group.The control group was treated with HSP and the observation group was treated with CSP.The operative conditions,pain factors,complete removal rate of polyps and postoperative complication rate were compared between the two groups.Results The operation time and polypectomy time in the observation group were(16.57±1.32)min and(3.17±0.32)min,respectively,which were shorter than(21.35±2.47)min and(3.98±0.41)min in the control group,and the differences were statistically significant(P<0.05).The levels of Prostaglandin E2 and Substancep in the observation group were(170.32±15.43)pg/mL and(3.25±0.42)μg/mL,respectively,which were lower than(196.54±17.54)pg/mL and(4.19±0.47)μg/mL in the control group,and the differences were statistically significant(P<0.05).The complete removal rate of polyps in the observation group was higher than that in the control group,and the incidence of postoperative complications was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Compared with HSP,the treatment of colon polyp patients with CSP can achieve more significant therapeutic effects,not only can improve the complete removal rate of polyps,but also less trauma,high safety and reliability.

Colon polypEndoscopic cold snare PolypectomyEndoscopic hot snare polypectomyPain factorPostopera-tive complication

王延芝

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邹平市人民医院消化内科,山东滨州 256200

结肠息肉 内镜下冷圈套切除术 内镜下热圈套切除术 疼痛因子 术后并发症

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(8)