Application Value of Painless Endoscopic Cold Resection and High-frequency Electrotomy in the Treatment of Colorectal Polyps
Objective:To explore the application value of painless endoscopic cold resection and high-frequency electrotomy in the treatment of colorectal polyps.Method:A total of 180 patients with colorectal polyps who were treated in the Gastroenterology Department of Dalian NO.3 People's Hospital from January 2018 to December 2021 were selected,the patients were divided into control group(painless endoscopic high-frequency electrotomy)and observation group(painless endoscopic cold resection)by random number table method,90 cases in each group.Clinical indexes(operation time,postoperative fasting time,defecation time),total treatment response rate,inflammatory factors[C reactive protein(CRP),interleukin-1β(IL-1β),interleukin-6(IL-6)],stress indexes[epinephrine(E),norepinephrine(NE),cortisol(Cor)]and complication rate of the two groups were compared.Result:The operation time,postoperative fasting time and defecation time in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of the control group was lower than that of the observation group,the difference was statistically significant(P<0.05).Before operation,there were no significant differences in IL-1β,IL-6 and CRP levels between the two groups(P>0.05);after operation,the levels of IL-1β,IL-6 and CRP in both groups were increased,but the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Before operation,there were no significant differences in E,NE and Cor levels between the two groups(P>0.05);after operation,the levels of E,NE and Cor were increased in both groups,but the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The complication rate of the control group was higher than that of the observation group,the difference was statistically significant(P<0.05).Conclusion:Compared with high-frequency electrotomy for colorectal polyps,painless endoscopic cold resection has better effect,which can promote patient recovery,reduce inflammation,stress damage,and reduce complications,with high safety.