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目的分析内镜黏膜切除术(EMR)治疗胃肠息肉的临床资料。方法选取我院2013年11月至2015年11月100例胃肠息肉患者,随机分为观察组与对照组2组,每组各50例。观察组采用EMR进行息肉切除治疗,对照组患者进行普通的内镜下高频电切除术治疗,观察2组患者的临床疗效、近期及远期并发症和内镜随访。结果观察组所有病例均一次性完成切除,切除成功率100%,对照组50例患者一次性完成切除,切除率84.38%,观察组切除率明显高于对照组(P<0.05)。观察组随访3个月至2年未见息肉复发,对照组随访3个月至2年2例息肉患者复发,观察组并发症少于对照组(P<0.05),差异显著具有统计意义。结论采用EMR治疗胃肠息肉是一种安全有效的治疗方式,其设备简单,操作便捷,安全可靠,治疗效果稳定可靠,并发症发生率较低,成为临床值得推广的有效方式。
Objective To analyze the clinical data of endoscopic mucosal resection (EMR) in the treatment of gastrointestinal polyps. Methods 100 cases of gastrointestinal polyps in our hospital from November 2013 to November 2015 were randomly divided into observation group and control group, with 50 cases in each group. The observation group was treated with EMR for polypectomy. The control group was treated with endoscopic high-frequency electrosurgical excision. The clinical efficacy, short-term and long-term complications and endoscopic follow-up were observed in the two groups. Results All the cases in the observation group were completely resected at one time. The successful rate of resection was 100%. The resection rate was 84.38% in 50 cases of the control group. The resection rate of the observation group was significantly higher than that of the control group (P <0.05). The observation group was followed up for 3 months to 2 years, no recurrence of polyps, control group followed up for 3 months to 2 years 2 cases of polyp recurrence, observation group complications less than the control group (P <0.05), the difference was statistically significant. Conclusion EMR treatment of gastrointestinal polyps is a safe and effective method of treatment. It is simple and convenient to operate, safe and reliable. The treatment effect is stable and reliable, and the complication rate is low, which is an effective way to promote clinical practice.