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[目的]分析比较内镜黏膜切除术(EMR)与单纯高频电切术治疗消化道难治性息肉的临床疗效和安全性。[方法]入选80例(139枚)难治性消化道息肉患者,按照息肉切除方式,分成EMR组38例(67枚)和电切组42例(72枚),观察2组治疗术中、术后并发症及处理情况。[结果]EMR组完整切除率为97.4%,显著高于电切组的76.1%;而电切组总并发症发生率35.7%明显高于EMR组的10.5%(P<0.05)。[结论]消化道难治性息肉行EMR治疗与传统单纯高频电切术治疗比较,具有操作简便、并发症少等特点,是一种安全有效的微创内镜治疗手段。
[Objective] To compare the clinical efficacy and safety of endoscopic mucosal resection (EMR) and simple radiofrequency excision in the treatment of gastrointestinal refractory polyps. [Methods] Eighty patients (139) with refractory gastrointestinal polyps were enrolled. According to the way of polyp resection, they were divided into EMR group (38 cases) and electric cutting group (42 cases) (72 pieces) Postoperative complications and management. [Result] The complete resection rate of EMR group was 97.4%, which was significantly higher than that of the resection group (76.1%). The total complication rate of the resection group was 35.7%, significantly higher than that of the EMR group (10.5%, P <0.05). [Conclusion] EMR treatment of gastrointestinal refractory polyps is a safe and effective minimally invasive endoscopic treatment compared with the traditional simple high frequency electrotomy. It has the advantages of simple operation and less complications.