| 傅 亮,肖 波,吴 曦,唐 娜,符冬梅.内镜下氩离子凝固术、高频电凝电切术及黏膜切除术治疗结肠息肉的疗效比较研究[J].,2019,19(19):3759-3762 |
| 内镜下氩离子凝固术、高频电凝电切术及黏膜切除术治疗结肠息肉的疗效比较研究 |
| A Comparative Study of Endoscopic Argon ion Coagulation, High Frequency Electrocoagulation and Mucosal Resection in the Treatment of Colonic Polyps |
| 投稿时间：2019-01-30 修订日期：2019-02-26 |
| DOI：10.13241/j.cnki.pmb.2019.19.037 |
| 中文关键词: 内镜下氩离子凝固术 高频电凝电切术 黏膜切除术 结肠息肉 疗效 |
| 英文关键词: Endoscopic argon ion coagulation High frequency electrocoagulation Mucosal resection Colon polyps Curative effect |
| 基金项目:卫生部公益性研究基金项目(201403006) |
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| 中文摘要: |
| 摘要 目的：探讨内镜下氩离子凝固术、高频电凝电切术及黏膜切除术治疗结肠息肉的疗效。方法：选取2016年1月~2018年5月期间我院收治的拟行内镜下治疗的结肠息肉患者180例（298枚息肉）为研究对象。根据不同的术式将患者分为内镜下氩离子凝固术组（n=59，96枚息肉，行内镜下氩离子凝固术）、高频电凝电切术组（n=61，103枚息肉，行高频电凝电切术）以及黏膜切除术组（n=60，99枚息肉，行黏膜切除术），比较三组患者围手术期指标以及临床疗效，并记录三组术后并发症发生情况。结果：三组患者术后住院时间、平均息肉个数整体及组间两两比较差异无统计学意义（P>0.05）；高频电凝电切术组手术时间显著短于内镜下氩离子凝固术组、黏膜切除术组（P<0.05），内镜下氩离子凝固术组、黏膜切除术组手术时间比较差异无统计学意义（P>0.05）。内镜下氩离子凝固术组、黏膜切除术组扁平及浅表隆起息肉的治愈率显著高于高频电凝电切术组（P<0.05）；高频电凝电切术组、黏膜切除术组亚蒂及有蒂隆起息肉的治愈率显著高于内镜下氩离子凝固术组（P<0.05）。三组患者术后并发症发生率比较无差异（P>0.05）。结论：对于亚蒂及有蒂隆起的结肠息肉患者，高频电凝电切术和黏膜切除术的治疗效果优于内镜下氩离子凝固术，而对于扁平及浅表隆起的结肠息肉患者，内镜下氩离子凝固术和黏膜切除术的治疗效果优于高频电凝电切术，临床可根据患者具体息肉情况选择合适的术式。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the efficacy of endoscopic argon ion coagulation,high frequency electrocoagulation and mucosal resection in the treatment of colonic polyps. Methods: 180 patients (298 polyps) with colon polyps to be treated by endoscopy in our hospital from January 2016 to May 2018 were selected as subjects. The patients were divided into endoscopic argon ion coagulation group (n=59,96polyps, endoscopic argon ion coagulation), high frequency electrocoagulation group (n=61,103polyps, high-frequency electrocoagulation) and mucosal resection group (n=60, 99polyps, mucosal resection) according to different operative methods. The perioperative indexes and clinical effects of the three groups were compared, and the occurrence of postoperative complications were recorded. Results: There were no significant differences in postoperative hospitalization time, average polyp number in the three groups and comparison between 22 groups (P>0.05). The operation time of the high frequency electrocoagulation group was significantly shorter than that of the endoscopic argon ion coagulation group and the mucosal resection group (P<0.05). There was no significant difference in operative time between endoscopic argon ion coagulation group and mucosal resection group (P>0.05). The cure rate of flat and superficial protuberant polyps in endoscopic argon ion coagulation group and mucosal resection group were significantly higher than those in high frequency electrocoagulation group (P<0.05). The cure rate of Iati and raised polyps in high frequency electrocoagulation group and mucosal resection group were significantly higher than those in endoscopic argon ion coagulation group (P<0.05). There were no significant differences in the incidence of postoperative complications between the three groups (P>0.05). Conclusion: For patients with Iati and raised of colon polyps, the efficacy of high frequency electrocoagulation and mucosal resection are better than those of endoscopic argon ion coagulation. For patients with flat and superficial protuberant of colon polyps, the efficacy of argon ion coagulation and mucosal resection under endoscope are better than those of high frequency electrocoagulation. Clinical can choose the appropriate operation type according to the patient's specific polyp situation. |
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