临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (2): 52-.

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无痛肠镜下钛夹联合高频电凝电切术治疗大肠息肉的效果分析

  

  1. 东莞仁康医院 消化内科,广东 东莞 523000
  • 出版日期:2022-04-01 发布日期:2022-07-18

Effect analysis of painless colonoscopy with titanium clip combined with high-frequency electrocoagulation electrotomy in the treatment of colorectal polyps

  1. Gastroenterology Department of Renkang Hospital, Guangdong Dongguan 523000, China
  • Online:2022-04-01 Published:2022-07-18

摘要:

目的 分析无痛肠镜下钛夹联合高频电凝电切术治疗大肠息肉的临床效果。方法 选取东莞仁康医院2020 年2 月至2021 年1 月收治的80 例大肠息肉患者,根据手术方式不同分为对照组(40 例,无痛肠镜下高频电凝电切术治疗)、观察组(40 例,无痛肠镜下钛夹联合高频电凝电切术治疗)。对比两组患者近远期临床指标。结果 两组患者手术时间无显著差异(P > 0.05),观察组患者创面愈合时间与住院时间均短于对照组,差异有显著性(P < 0.05);观察组患者围手术期出血发生率低于对照组,差异有显著性(P< 0.05)。两组患者入院时、出院时的血红蛋白水平无显著差异(P > 0.05)。观察组患者术后并发症发生率、术后3 个月复发率均低于对照组,差异有显著性(P < 0.05)。结论 实施无痛肠镜下钛夹联合高频电凝电切术治疗大肠息肉可以获得良好的近远期疗效。

关键词: 大肠息肉, 无痛肠镜, 钛夹, 高频电凝电切术

Abstract:

Objective To analyze the clinical effect of painless colonoscopy with titanium clip combined with high-frequency electrocoagulation electrotomy in the treatment of colorectal polyps. Method 80 patients with colorectal polyps treated in Dongguan Renkang Hospital from February 2020 to January 2021 were divided into control group (40 cases, treated by painless colonoscopy with high-frequency electrocoagulation) and observation group (40 cases, treated by painless colonoscopy with titanium clip combined with high-frequency electrocoagulation)by different surgical method. The short-term and long-term clinical indexes of the two groups were compared. Result There was no significant difference in operation time between the two groups (P > 0.05). The wound healing time and hospitalization time of the observation group were shorter than those of the control group (P < 0.05); the incidence of perioperative bleeding in the observation group was significantly lower than that in the control group (P < 0.05). There was no significant difference in hemoglobin levels between the two groups at admission and discharge (P > 0.05). The incidence of postoperative complications and recurrence rate 3 months after operation in the observation group were significantly lower than those in the control group (P < 0.05). Conclusion Titanium clip combined with high frequency electrocoagulation and resection under painless enterostomy can achieve good short-term and long-term results in the treatment of colorectal polyps.

Key words: Colorectal polyps, Painless colonoscopy, Titanium clip, High frequency electrocoagulation