Clinical efficacy and safety of endoscopic high-frequency electrotomy with argon and endoscopic mucosal resection in the treatment of gastric polyps:a comparative observation
Clinical efficacy and safety of endoscopic high-frequency electrotomy with argon and endoscopic mucosal resection in the treatment of gastric polyps:a comparative observation
Objective To compare the clinical efficacy and safety between endoscopic high-frequency electrotomy with argon and endoscopic mucosal resection(EMR)in the treatment of gastric polyps.Methods A total of 90 patients with gastric polyps were selected as the study subjects and randomly divided into group A(n=45,91 polyps)and group B(n=45,94 polyps).Group A was treated with endoscopic high-frequency electrotomy with argon,and group B was treated with EMR.The clinical efficacy,perioperative indexes,incidence of adverse reactions within 7 days after surgery,and serological indicators before surgery and 7 days after surgery were compared between the two groups.Results The total effective rate of treatment and the 1-time polyps resection rate in group A were higher than those in group B,while the intraoperative blood loss,operation time,and length of hospital stay were less/shorter than those in group B,and the incidence of adverse reactions within 7 days after surgery was lower than that in group B(all P＜0.05).Seven days after surgery,the levels of pepsinogen Ⅰ and gastrin-17 in the two groups were higher than those before surgery,the abovementioned indexes in group A were higher than those in group B(all P＜0.05),but there was no statistically significant difference in the pepsinogen Ⅱ level between the two groups(P＞0.05).Conclusion Compared with EMR,endoscopic high-frequency electrotomy with argon can treat gastric polyps more effectively,with higher safety,less damage,faster gastric mucosal repair,and shorter postoperative recovery time.
关键词
胃息肉/胃镜下高频电氩气切术/胃泌素-17/胃镜下黏膜切除术
Key words
Gastric polyp/Endoscopic high-frequency electrotomy with argon/Gastrin-17/Endoscopic mucosal resection
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