Study on the surgical effect of endoscopic mucosal resection for gastrointestinal polyps and its impact on gastrointestinal hormone levels in patients
Objective To investigate the surgical effect of endoscopic mucosal resection for gastrointestinal polyps and its impact on gastrointestinal hormone levels in patients.Methods 100 patients with gastrointestinal polyps were divided into an intervention group and a reference group according to random number arrangement table,with 50 cases in each group.The intervention group was given endoscopic mucosal resection,and the reference group was given general endoscopic electroresection.Comparison was made on polypectomy rates(whole resection rate and complete resection rate),postoperative recovery(average body temperature 3 d after surgery,white blood cell count 1 d after surgery,postoperative eating time,postoperative hospital stay),serum inflammatory factor levels(C-reactive protein and procalcitonin)before and after surgery,and postoperative complications.Results The whole resection rate and complete resection rate of polyps were 98.00%and 100.00%in the intervention group,which were higher than those of 84.00%and 92.00%in the reference group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in average body temperature 3 d after surgery and white blood cell count 1 d after surgery between the two groups(P>0.05).The postoperative eating time of(2.96±0.72)d and postoperative hospital stay of(5.23±1.15)d in the intervention group were shorter than those of(3.87±0.98)and(6.82±2.03)d in the reference group,and the difference was statistically significant(P<0.05).Before surgery,there was no statistically significant difference in serum C-reactive protein and procalcitonin levels between the two groups(P>0.05).After surgery,the serum C-reactive protein of(53.60±6.08)mg/L and procalcitonin of(0.47±0.11)ng/ml in the intervention group were lower than those of(72.96±8.55)mg/L and(0.79±0.18)ng/ml in the reference group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the intervention group(6.00%)was lower than that in the reference group(20.00%),and the difference was statistically significant(P<0.05).Conclusion Endoscopic mucosal resection in the diagnosis and treatment of patients with gastrointestinal polyps is beneficial to improve the overall diagnosis and treatment effect and reduce the risk of inflammation and postoperative complications.It has clinical application value and should be recommended.
NETL
NSTL
万方数据
维普
