摘要
目的:对比内镜下氩离子凝固术与高频电切术治疗胃息肉临床疗效。方法:选取2018年2月~2020年2月收治的114例胃息肉患者分为A、B组,A组给予内镜下氩离子凝固术治疗,B组给予内镜下高频电切术治疗,比较两组临床疗效、临床症状消失时间、住院时间、息肉切除情况、手术前后实验室指标、并发症发生情况。结果:A组临床疗效总有效率为94.74%,较B组82.46%显著提高,胃息肉症状消失时间、腹胀症状消失时间、住院时间较B组显著缩短,息肉一次性切除率为92.19%,较B组81.67%显著提高(P<0.05),术前两组PGⅠ、PGⅡ、PGR、G-17指标水平无显著性差异(P>0.05),治疗后A组PGⅠ、PGR、G-17指标水平改善优于B组(P<0.05),治疗前后两组PGⅡ指标水平无显著性变化(P>0.05),A组并发症发生率为7.02%,较对照组21.05%显著降低(P<0.05)。结论:内镜下氩离子凝固术治疗胃息肉可提高临床疗效,加快患者术后康复,减少术后并发症的发生,促进胃黏膜泌酸腺细胞和G细胞的功能改善,修复胃黏膜,值得推广。
Objective:To compare the clinical efficacy of endoscopic argon plasma coagulation and high frequency electrotomy in the treatment of gastric polyps.Methods:114 patients with gastric polyps admitted from February 2018 to February 2020 were chosen and divided into Group A and Group B.Group A were treated with endoscopic plasma coagulation,while Group B were treated with endoscopic high frequency electrotomy,with the clinical efficacy,fading time of clinical symptoms,hospitalization time,polyp resection,laboratory indicators before and after surgery and complications compared.Results:The total clinical effective rate of Group A was 94.74%,significantly higher than that in Group B(82.46%);the fading time of clinical symptoms and abdominal distension and hospitalization time in Group A were significantly shorter than those in Group B.The one-time resection rate in Group A was 92.19%,significantly higher than that of Group B(81.67%)(P<0.05).There was no significant difference in the levels of PGⅠ,PGⅡ,PGR,and G-17 between the two groups before operation(P>0.05).After treatment,the index levels of PGⅠ,PGR and G-17 in Group A improved more significantly than those of Group B(P>0.05).There was no significant change in PGII index levels of the two groups before and after treatment(P>0.05).The complication rate of Group A was 7.02%,which was significantly lower than that of Group B(21.05%)(P<0.05).Conclusion:Treatment of gastric polyps with endoscopic argon plasma coagulation can improve clinical efficacy,speed up postoperative recovery of patients,reduce postoperative complications,improve the function of gastric mucosal oxyntic gland cells and G cells and repair the gastric mucosa,worthy of promotion.
作者
罗海深
陈艺
林坚雄
LUO Haishen;CHEN Yi;LIN Jianxiong(Xinyi People's Hospital,Guangdong,Xinyi 525300,China)
出处
《包头医学院学报》
CAS
2020年第9期52-55,共4页
Journal of Baotou Medical College
关键词
内镜下氩离子凝固术
高频电切术
胃息肉
临床疗效
Endoscopic argon plasma coagulation
High frequency electrotomy
Gastric polyps
Clinical efficacy
