摘要
目的评价对结肠息肉患者采取无痛肠镜下高频电凝切除术治疗的临床效果。方法60例结肠息肉患者,通过电脑随机选取法分成观察组和对照组,每组30例。对照组患者采取常规内镜下高频电凝切除术治疗,观察组患者采用无痛肠镜下高频电凝切除术治疗。比较两组患者临床指标(手术时间、术中出血量、疼痛程度、术后首次进食时间、首次排便时间、下床活动时间、住院时间)、术后并发症发生率、息肉完整切除率、治疗效果、生活质量。结果观察组患者手术时间(38.9±1.2)min、术后首次进食时间(1.0±0.2)d、首次排便时间(27.8±1.3)h、下床活动时间(5.9±0.6)h、住院时间(3.5±0.4)d均短于对照组的(45.7±1.6)min、(1.8±0.5)d、(33.3±1.6)h、(6.3±0.7)h、(4.8±0.5)d,术中出血量(18.0±1.0)ml少于对照组的(35.8±1.3)ml,疼痛评分(4.2±0.4)分低于对照组的(5.3±0.5)分,差异有统计学意义(P<0.05)。观察组术后并发症发生率仅为3.3%,与对照组的20.0%相比明显降低;息肉完整切除率达到96.7%,也明显高于对照组的80.0%,差异有统计学意义(P<0.05)。观察组治疗总有效率为96.7%,而对照组治疗总有效率为80.0%,观察组治疗总有效率与对照组相比明显更高,差异有统计学意义(P<0.05)。治疗后,观察组患者生理功能评分(85.8±6.5)分、社会功能评分(89.4±6.2)分、躯体疼痛评分(91.5±2.8)分、情感职能评分(92.4±4.2)分同对照组的(79.6±5.8)、(85.5±5.9)、(88.7±2.5)、(87.9±3.9)分相比显著提高,差异具有统计学意义(P<0.05)。结论在结肠息肉患者中开展无痛肠镜下高频电凝切除术治疗,可取得较好的临床治疗效果,提高手术安全性及效率,减轻患者疼痛程度,减少并发症发生,提高患者术后身体恢复效率。
Objective To evaluate the clinical effect of high-frequency electroresection under painless colonoscopy for colon polyps.Methods 60 patients with colon polyps were divided into an observation group and a control group by computerized random selection method,with 30 cases in each group.The control group was treated with conventional endoscopic high-frequency electrocoagulation,and the observation group was treated with high-frequency electroresection under painless colonoscopy.Patients in both groups were compared in terms of clinical indicators(operation time,intraoperative blood loss,pain intensity,postoperative eating time,first defecation time,ambulation time,length of hospital stay),postoperative complications,rate of complete resection of polyps,treatment effect and quality of life.Results The operation time of patients in the observation group was(38.9±1.2)min,the postoperative eating time was(1.0±0.2)d,the first defecation time was(27.8±1.3)h,the ambulation time was(5.9±0.6)h,and the length of hospital stay was(3.5±0.4)d,which were shorter than(45.7±1.6)min,(1.8±0.5)d,(33.3±1.6)h,(6.3±0.7)h,and(4.8±0.5)d in the control group;the intraoperative blood loss of(18.0±1.0)ml in the observation group was less than(35.8±1.3)ml in the control group;the pain score of(4.2±0.4)points in the observation group was lower than(5.3±0.5)points in the control group;the difference was statistically significant(P<0.05).The postoperative complication rate of the observation group was only 3.3%,which was significantly lower than 20.0%of the control group;the rate of complete resection of polyps reached 96.7%,which was also significantly higher than 80.0%of the control group;the difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group was 96.7%,while the total effective rate of treatment in the control group was 80.0%;the observation group had obviously higher total effective rate than the control group,and the difference was statistically significant(P<0.05).Af
作者
刘慧涛
LIU Hui-tao(Shandong Provincial First Rehabilitation Hospital,Linyi 276000,China)
出处
《中国实用医药》
2024年第17期52-55,共4页
China Practical Medicine
关键词
结肠息肉
无痛肠镜
高频电凝切除术
效果
Colon polyps
Painless enteroscopy
High-frequency electroresection
Effect
