摘要
目的探讨在结肠微小息肉治疗中应用结肠镜下高频电凝电切术和冷圈套切术,对患者近远期疗效的影响。方法选取2023年4月—2024年2月在本院行手术治疗的90例结肠微小息肉患者为研究对象,以随机信封法分成对照组与观察组,每组45例。其中,对照组采用高频电凝电切术,观察组采用冷圈套切术,比对近期疗效、临床指标以及远期疗效。结果观察组的息肉完整切除率高于对照组,观察组的息肉切除时间低于对照组,观察组的术后1年内复发率低于对照组,观察组的生活质量高于对照组,组间差异有统计学意义(P<0.05);两组术后并发症率及住院时间对比,差异无统计学意义(P>0.05)。结论结肠镜下冷圈套切术,因其短时间内完成息肉切除、高完整切除率、不增加并发症风险以及低术后复发率的特性,展现出了良好的治疗效果,对于改善患者预后具有积极意义,该技术具有极高的推广与应用价值。
Objective To explore improvement value of high-frequency electrocoagulation and cold loop resection under colonoscopy in treatment of small polyps of of colon patients in a short and long term.Methods The paper chose 90 colon polyps patients with surgical treatment in hospitals from April 2023 to April 2024 for study,and divided them into control group and observation group with random envelope method,with 45 cases in each group.Control group was treated with high-frequency electrocoagulation and electrocautery,while observation group with cold loop resection.Short-term Effect,clinical indicators,and long-term effect were compared.Results Complete polypectomy rate of observation group was higher than control group,polypectomy time of observation group was lower than control group,recurrence rate within 1 year after surgery of observation group was lower than control group,and life quality of observation group was higher than control group,P<0.05.There was no difference in postoperative complication rate and length of stay between two groups,with P>0.05.Conclusion Cold loop resection under colonoscopy can achieve shorter polypectomy time,higher complete resection rate,without increasing incidence of complications,with lowerrisk of postoperative recurrence,better overall curative effect,which is conducive to improving prognosis of patients and suitable for promotion,reference and application.
作者
刘培任
LIU Peiren(Department of Gastroenterology,Suzhou Blue Cross Brain Hospital,Suzhou,Jiangsu 215100)
出处
《智慧健康》
2024年第12期61-64,共4页
Smart Healthcare
关键词
结肠微小息肉
冷圈套切术
高频电凝电切术
近远期疗效
安全性
Colonic polyps
Cold trap cutting technique
High frequency electrocoagulation and electrocautery
Short and long term curative effect
Safety
