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无痛胃镜电凝切除术与内镜下电凝切除术治疗增生性胃息肉效果对比观察 被引量:8

Comparative observation of the effect of painless gastroscopic electrocoagulation and endoscopic electrocoagulation in the treatment of hyperplastic gastric polyps
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摘要 目的:对比分析无痛胃镜电凝切除术与内镜下电凝切除术治疗增生性胃息肉效果。方法:选取2018年1月至2020年5月收治的98例增生性胃息肉患者分为观察组和对照组。观察组采用无痛胃镜电凝切除术治疗,对照组采用内镜下电凝切除术治疗,比较两组手术指标、术后指标、术后并发症发生情况、复发率。结果:观察组手术时间较对照组显著缩短,术中出血量较对照组显著减少,术后1 d VAS评分较对照组显著降低,首次排气时间、首次排便时间、住院时间较对照组显著缩短,术后并发症发生率为4.08%较对照组18.37%显著下降,差异均有统计学意义(P<0.05)。随访1年,观察组复发2例,复发率为4.08%,较对照组的复发5例、复发率10.20%显著下降,差异具有统计学意义(χ^2=3.546,P=0.042)。结论:无痛胃镜下电凝切除胃息肉可确保手术的顺利进行,减少创伤及术后疼痛,促进恢复,减少术后并发症,降低复发率,值得推广。 Objective:To compare and analyze the effects of painless gastroscopic electrocoagulation and endoscopic electrocoagulation in the treatment of hyperplastic gastric polyps;Methods:Select 98 patients with hyperplastic gastric polyps who were admitted from January 2018 to May 2020.For the observation group and the control group,the observation group was given painless gastroscopic electrocoagulation resection,and the control group was given endoscopic electrocoagulation resection.The surgical indicators,postoperative indicators,postoperative complications,and recurrence rate of the two groups were compared;Results:The operation time of the observation group was significantly shorter than that of the control group.The intraoperative blood loss was significantly less than that of the control group.The VAS score of 1d after operation was significantly lower than that of the control group.The post-complication rate was 4.08%significantly lower than that of the control group 18.37%(P<0.05).After 1 year of follow-up,2 cases in the observation group recurred,and the recurrence rate was 4.08%,which was significantly lower than the 5 cases in the control group,and the recurrence rate was 10.20%,The difference is statistically significant(χ^2=3.546,P=0.042);Conclusion:Painless gastroscopic electrocoagulation of gastric polyps can ensure the smooth progress of the operation,reduce the trauma to the patient,reduce the degree of postoperative pain,and promote the operation of the patient Post-recovery,reduce postoperative complications and reduce recurrence rate,it is worthy of promotion.
作者 丁家浩 刘慧 DING Jiahao;LIU Hui(Department of Gastroenterology,CITIC Huizhou Hospital,Huizhou 516006,China)
出处 《包头医学院学报》 CAS 2020年第8期32-34,46,共4页 Journal of Baotou Medical College
关键词 无痛胃镜电凝切除术 内镜下电凝切除术 增生性胃息肉 临床效果 Painless gastroscopic electrocoagulation resection endoscopic electrocoagulation resection hyperplastic gastric polyps clinical effect
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