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无痛消化内镜下高频电刀治疗胃肠息肉临床效果

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目的:探析应用高频电刀在无痛消化内镜下切除胃肠息肉的临床疗效.方法:选取自2021年8月~2022年8月90例胃肠息肉患者,采用随机数表法将90例患者分为两组,每组45例.对照组给予常规消化内镜下行高频电刀,观察组在无痛消化内镜的情况下使用高频电刀,将两组患者的临床疗效和手术有关参数进行比较;并比较两组术前与术后1d的视觉模拟评分法(VAS)评分情况.结果:观察组疗效明显优于对照组(P<0.05);观察组术后并发症明显少于对照组(P<0.05);观察组手术时间、肛门排气时间和肠鸣音恢复时间明显缩短,术中出血量明显少于对照组(P<0.05);术后,观察组VAS评分低于对照组(P<0.05).结论:应用高频电刀在胃肠息肉无痛消化内镜手术具有较为积极的意义,能够改善患者疼痛症状,促进手术进程,有效防止并发症,有利于提高治疗效率.
Clinical Efficacy of High-frequency Electric Knife Treatment for Gastrointestinal Polyps Under Painless Digestive Endoscopy
Objective:Exploring the clinical efficacy of high-frequency electric knife in painless endoscopic resection of gastrointestinal polyps.Methods:A total of 90 patients with gastrointestinal polyps from August 2021 to August 2022 were selected and divided into two groups using a random number table method,with 45 patients in each group.The control group received high-frequency electric knife under conventional digestive endoscopy,while the observation group received high-frequency electric knife under painless digestive endoscopy.The clinical efficacy and surgical parameters of the two groups of patients are compared;And compare the VAS pain levels before and 1 day after surgery between the two groups.Results:Compared with the control group,the curative effect of observation group was obviously better(P<0.05);And the postoperative complications of observation group were obviously lower than those of control group(P<0.05);The observation group showed significantly shorter surgical time,anal exhaust time,and recovery time of bowel sounds,with significantly less intraoperative bleeding compared to the control group(P<0.05);After surgery,the VAS score of the observation group was lower than that of the control group(P<0.05).Conclusion:The application of high-frequency electric knife in painless endoscopic surgery for gastrointestinal polyps has a relatively positive significance,which can improve patients'pain symptoms,promote the surgical process,effectively prevent complications,and thus improve treatment efficiency.

painless digestive endoscopyhigh frequency electric knifegastrointestinal polypsclinical effectscomplications

严晓健、吴行廷

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南平市第二医院消化内科(福建南平 354200)

无痛消化内镜 高频电刀 胃肠息肉 临床效果 并发症

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(3)
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