摘要
目的对比胃肠镜下高频电凝电切术与传统开腹切除手术治疗消化道息肉的临床效果。方法176例消化道息肉患者,利用计算机数字表法分成对照组和研究组,每组88例。对照组采用传统开腹切除手术治疗,研究组采用胃肠镜下高频电凝电切术治疗。比较两组患者息肉切除成功率、围术期相关指标、术后并发症发生情况及术后1个月生活质量。结果两组患者一次息肉切除成功率与二次息肉切除成功率比较,差异无统计学意义(P>0.05)。研究组手术时间(34.52±22.41)min、术后首次排气时间(24.74±5.64)h、住院时间(6.97±2.34)d明显短于对照组的(74.65±20.31)min、(44.65±7.41)h、(11.60±4.34)d,术后视觉模拟评分法(VAS)评分(2.56±1.11)分明显低于对照组的(3.67±1.25)分,差异有统计学意义(P<0.05)。研究组患者术后并发症发生率2.27%低于对照组的10.23%,差异有统计学意义(P<0.05)。研究组患者术后1个月生理机能、生理职能、躯体疼痛、一般健康状况、社会功能、情感职能、精神健康及精力评分分别为(82.66±12.10)、(83.64±12.41)、(90.11±9.05)、(88.64±11.13)、(86.12±12.32)、(90.80±5.47)、(84.10±9.79)、(86.11±8.74)分,均高于对照组的(77.68±11.12)、(77.64±11.11)、(79.85±10.80)、(79.91±6.21)、(74.66±10.64)、(75.12±10.68)、(79.87±10.90)、(75.12±6.18)分,差异有统计学意义(P<0.05)。结论胃肠镜下高频电凝电切术治疗消化道息肉安全有效,可减少手术时间及住院天数,减轻患者痛苦,促进康复,且可提升其术后生活质量,值得推广。
Objective To compare the clinical effect of high-frequency electrocoagulation and electroresection under gastroscopy and traditional laparotomy in the treatment of gastrointestinal polyps.Methods A total of 176 patients with gastrointestinal polyps were divided into control group and study group according to computer numerical table,with 88 cases in each group.The control group was treated with traditional laparotomy,and the study group was treated with high-frequency electrocoagulation and electroresection under gastroscopy.The success rate of polypectomy,perioperative related indexes,postoperative complications and quality of life 1 month after surgery were compared between the two groups.Results There was no statistically significant difference between the success rate of primary polypectomy and the success rate of secondary polypectomy between the two groups(P>0.05).In the study group,the operative time was(34.52±22.41)min,the first postoperative exhaust time was(24.74±5.64)h and the hospital stay was(6.97±2.34)d,which were significantly shorter than those of(74.65±20.31)min,(44.65±7.41)h and(11.60±4.34)d in the control group;VAS score of(2.56±1.11)points in the study group was significantly lower than that of(3.67±1.25)points in the control group;the differences were statistically significant(P<0.05).The incidence of postoperative complications in the study group was 2.27%,which was lower than that of 10.23% in the control group,and the difference was statistically significant(P<0.05).The scores of physical functioning,role-physical,bodily pain,general health status,social functioning,role-emotional,mental health and vitality were(82.66±12.10),(83.64±12.41),(90.11±9.05),(88.64±11.13),(86.12±12.32),(90.80±5.47),(84.10±9.79)and(86.11±8.74)points,which were higher than those of(77.68±11.12),(77.64±11.11),(79.85±10.80),(79.91±6.21),(74.66±10.64),(75.12±10.68),(79.87±10.90)and(75.12±6.18)points in the control group,and the differences were statistically significant(P<0.05).Conclusion High-frequency electrocoagulation and electroresection under gastroscopy for the treatment of gastrointestinal polyps is safe and effective,which can reduce the operative time and hospital stay,alleviate patients'pain,promote recovery,and improve their postoperative life quality,which is worthy of promotion.
作者
栾术亮
LUAN Shu-liang(Gaomi People's Hospital of Chaoyang District,Gaomi 261500,China)
出处
《中国现代药物应用》
2023年第18期21-25,共5页
Chinese Journal of Modern Drug Application
关键词
消化道息肉
胃肠镜下高频电凝电切术
并发症
开腹切除手术
Gastrointestinal polyps
High-frequency electrocoagulation and electroresection under gastroscopy
Complications
Laparotomy
