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高频电切术与EMR治疗消化道息肉的效果分析

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目的 研究高频电切术与内镜下黏膜切除术(EMR)治疗消化道息肉的效果.方法 546例消化道息肉患者,按照互联网系统对患者进行随机分组,将其分为对照组(273 例,以高频电切术进行治疗)与指导组(273 例,采用EMR进行治疗).对比两组患者术后并发症发生情况、术后住院时间和排便时间、术中出血量.结果 指导组患者术后并发症发生率为 8.79%,而对照组患者术后并发症发生率为 18.68%,指导组患者术后并发症发生率明显低于对照组,且两组数据对比在统计学上具有明显差异(P<0.05).指导组患者术后住院时间(6.21±1.05)d和排便时间(11.48±1.88)h明显短于对照组的(8.37±2.68)d、(13.16±3.06)h,且两组数据对比在统计学上具有明显差异(P<0.05).指导组患者术中出血量为(3.26±1.06)ml,而对照组患者术中出血量为(5.04±1.39)ml,指导组患者术中出血量明显少于对照组,且两组数据对比在统计学上具有明显差异(P<0.05).结论 采用EMR治疗消化道息肉的效果显著.
Analysis of the effect of high-frequency electroresection and EMR on gastrointestinal polyps
Objective To study the effect of high-frequency electroresection and endoscopic mucosal resection(EMR)on gastrointestinal polyps.Methods A total of 546 patients with gastrointestinal polyps were randomly divided into two groups according to the Internet system,the patients were divided into a control group(273 cases,treated with high frequency electroresection)and a guidance group(273 cases,treated with EMR).The postoperative complications,postoperative hospitalization time and defecation time,and the amount of intraoperative bleeding were compared between the two groups.Results The incidence of postoperative complications was 8.79%in the guidance group,while the incidence of postoperative complications was 18.68%in the control group;the incidence of postoperative complications in the guidance group was significantly lower than that in the control group,and the data between the two groups were statistically significant difference(P<0.05).The postoperative hospitalization time of the guidance group was(6.21±1.05)d and the defecation time was(11.48±1.88)h,which were significantly shorter than(8.37±2.68)d and(13.16±3.06)h in the control group,and the data between the two groups were statistically significant difference(P<0.05).The amount of intraoperative bleeding was(3.26±1.06)ml in the control group,while the amount of intraoperative bleeding was(5.04±1.39)ml in the control group;the amount of intraoperative bleeding in the guidance group was significantly lower than that in the control group,and the data between the two groups were statistically significant difference(P<0.05).Conclusion EMR is effective in the treatment of gastrointestinal polyps.

Endoscopic mucosal resectionGastrointestinal polypsHigh-frequency electroresection

鲍英

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116031 大连市第三人民医院

内镜下黏膜切除术 消化道息肉 高频电切术

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(15)