国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
9期
1254-1256
,共3页
粘膜切除%微创%消化道息肉%切除效果
粘膜切除%微創%消化道息肉%切除效果
점막절제%미창%소화도식육%절제효과
Mucosal resection%Minimally invasive%Gastrointestinal polyps%Resection
目的 探讨内镜下粘膜切除(EMR)法与高频电切术治疗消化道难治性息肉的疗效.方法 抽选我院收治的153例(193枚)消化道息肉患者,采用随机分层法分为电切组(n=76,96枚,单纯予以高频电切术)和EMR组(n=77,97枚,行EMR治疗),比较两组切除效果及术中、术后并发症情况.结果 EMR组完整切除成功率96.9％(94/97)显著高于电切组的81.3％(78/96)(x 2=10.637,P=0.001);而对照组术中、术后并发症发生率50％明显高于EMR组的19.6％(x2=18.371,P=0.000).结论 采用内镜下粘膜切除法治疗消化道息肉,具有操作简便,并发症少等优势特点,是一种安全性高的内镜微创治疗手段.
目的 探討內鏡下粘膜切除(EMR)法與高頻電切術治療消化道難治性息肉的療效.方法 抽選我院收治的153例(193枚)消化道息肉患者,採用隨機分層法分為電切組(n=76,96枚,單純予以高頻電切術)和EMR組(n=77,97枚,行EMR治療),比較兩組切除效果及術中、術後併髮癥情況.結果 EMR組完整切除成功率96.9％(94/97)顯著高于電切組的81.3％(78/96)(x 2=10.637,P=0.001);而對照組術中、術後併髮癥髮生率50％明顯高于EMR組的19.6％(x2=18.371,P=0.000).結論 採用內鏡下粘膜切除法治療消化道息肉,具有操作簡便,併髮癥少等優勢特點,是一種安全性高的內鏡微創治療手段.
목적 탐토내경하점막절제(EMR)법여고빈전절술치료소화도난치성식육적료효.방법 추선아원수치적153례(193매)소화도식육환자,채용수궤분층법분위전절조(n=76,96매,단순여이고빈전절술)화EMR조(n=77,97매,행EMR치료),비교량조절제효과급술중、술후병발증정황.결과 EMR조완정절제성공솔96.9％(94/97)현저고우전절조적81.3％(78/96)(x 2=10.637,P=0.001);이대조조술중、술후병발증발생솔50％명현고우EMR조적19.6％(x2=18.371,P=0.000).결론 채용내경하점막절제법치료소화도식육,구유조작간편,병발증소등우세특점,시일충안전성고적내경미창치료수단.
Objective To investigate the clinical comparative analysis on endoscopic improvement (EMR) method and the high-frequency electric resection in the treatment of gastrointestinal refractory polyp.Methods 153 cases of digestive tract polyps (193) in our hospital were chosen and randomly divided into the cutting group (n=76,96,only to be high frequency electrotomy) and the EMR group (n=77,97,were treated by EMR),the efficacy of resection and intraoperative,postoperative complications of two groups were compared.Results The success rate of complete resection in the EMR group 96.9％ (94/97) was significantly higher than the cutting group 81.3％ (78/96) (x 2=10.637,P=0.001); and the control group of the incidence of postoperative complications 50％ was significantly higher than that of the EMR group 19.6％ (x 2=18.371,P=0.000).Conclusion Endoscopic mucosal resection is indicated for the treatment of gastrointestinal polyps,and has the advantages of simple operation,low complications,which is a high security of endoscopic minimally invasive treatment method.
