内镜下黏膜切除术与高频电切术治疗消化道无蒂息肉的临床疗效观察

Clinical observation of endoscopic mucosal resection and high-frequency electroresection in treatment of pedicleless polyps

摘要:

目的 观察内镜下黏膜切除术（EMR）与高频电切术治疗消化道无蒂息肉的临床疗效。方法 选取该院2017年3月－2019年3月收治的80例消化道无蒂息肉患者作为研究对象，以随机数表法分为EMR组与高频电切术组，每组各40例，EMR组采取EMR治疗，高频电切术组用高频电切术治疗，对比两组总有效率、手术时间、并发症发生率和生存质量评分，统计和比较两组术后随访1年的复发率。结果 两组手术时间比较，差异无统计学意义（P > 0.05）；EMR组与高频电切术组总有效率、并发症发生率和复发率比较（97.50%和90.00%、5.00%和15.00%、2.50%和10.00%），差异均有统计学意义（P < 0.05）；两组术前生存质量评分比较，差异无统计学意义（P > 0.05），两组内术后与术前比较，差异均有统计学意义（P < 0.05），两组术后比较，差异有统计学意义（P < 0.05）。结论 EMR治疗消化道无蒂息肉较高频电切术疗效更佳，并发症发生率和复发率更低，值得临床推广。

Abstract:

Objective To observe the clinical efficacy of endoscopic mucosal resection and high-frequency electrotomy in treatment of pedicleless polyps.Methods 80 patients with gastrointestinal pedicleless polyps from March 2017 to March 2019 were selected as the research object. They were divided into endoscopic mucosal resection group and high-frequency electrosurgical group by random number table method, there were 40 cases in each group. The endoscopic mucosal resection group was treated with endoscopic mucosal resection, and the high-frequency resection group was treated with high-frequency resection. The total effective rate, operation time, incidence of complications and quality of life scores were compared, and the recurrence rate was counted and compared after 1 year of follow-up.Results There was no significant difference in the operation time between the two groups (P > 0.05); The difference were statistically significant in total effective rate, incidence of complications and recurrence rate between the endoscopic mucosal resection group and the high-frequency electrosurgical group (97.50% vs 90.00%, 5.00% vs 15.00%, 2.50% vs 10.00%) (P < 0.05); There was no significant difference in preoperative quality of life between the two groups (P > 0.05), the difference was statistically significant between postoperative and preoperative in the two groups (P < 0.05), the difference was statistically significant in postoperative quality of life between the two groups (P < 0.05).Conclusion Endoscopic mucosal resection for the treatment of gastrointestinal pedicleless polyps is more effective than frequency electrosurgical excision, with a lower complication rate and recurrence rate, which is worthy of clinical promotion.