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胃肠镜下氩离子电凝术治疗消化道息肉的临床研究
Clinical study of argon plasma coagulation by gastrointestinal endoscopy in the treatment of gastrointestinal polyps

微创医学 20201506期 页码:715-717+750

作者机构:北京市健宫医院,1 普外科,2 消化内科,北京市100054

基金信息:

DOI:DOI:10.11864/j.issn.1673.2020.06.05

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨胃肠镜下氩离子电凝术(APC)治疗消化道息肉的临床效果。方法回顾性分析51例消化道息肉患者的临床资料,按照治疗方法分为研究组(23例)和对照组(28例)。对照组行胃肠镜下高频电切术(HFE),研究组行胃肠镜下APC治疗。比较两组手术效果、临床疗效、并发症和复发情况。结果研究组患者手术时间明显短于对照组,疼痛数字评分量表(NRS)评分低于对照组,治疗总有效率(95.65%)显著高于对照组(71.43%),并发症总发生率(4.35%)低于对照组(28.57%)(均P<0.05)。两组广基型息肉、扁平型息肉和蒂息型息肉患者一次性手术成功率比较,差异均无统计学意义(均P>0.05)。两组半年、1年复发率比较,差异无统计学意义(均P>0.05)。结论与行胃肠镜下HFE患者相比,行胃肠镜下APC治疗的消化道息肉患者的手术效果得到改善,临床疗效大幅提升,并发症减少,安全性提高。
ObjectiveTo investigate the clinical effect of argon plasma coagulation (APC) by gastrointestinal endoscopy in the treatment of gastrointestinal polyps. MethodsThe clinical data of 51 patients with gastrointestinal polyps were retrospectively analyzed, and they were divided into study group (23 cases) and control group (28 cases) according to the treatment methods. The control group was treated with high frequency electrotomy (HFE) by gastrointestinal endoscopy, while the study group was treated with APC by gastrointestinal endoscopy. The operation effect, clinical efficacy, complications and recurrence were compared between the two groups. ResultsThe study group yielded shorter operation time, a lower numeric rating scale (NRS) score, a higher total effective rate (95.65% vs. 71.43%), and a lower total incidence of complications (4.35% vs. 28.57%) in comparison with the control group (all P<0.05). There were no statistically significant differences in the one-time operation success rate of patients with broad-based polyps, flat polyps and pedicle polyps between the two groups (all P>0.05). There were no statistically significant differences in the recurrence rate of half a year and one year between the two groups (all P>0.05). ConclusionCompared with conducting HFE by gastrointestinal endoscopy in patients, the operation effect is improved, the clinical efficacy is greatly promoted, the complications are reduced, and the safety is enhanced in patients with gastrointestinal polyps conducted APC by gastrointestinal endoscopy.

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