国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
23期
3435-3437
,共3页
消化道大息肉%单纯高频电切%尼龙绳套扎联合电切%钛夹联合高频电切
消化道大息肉%單純高頻電切%尼龍繩套扎聯閤電切%鈦夾聯閤高頻電切
소화도대식육%단순고빈전절%니룡승투찰연합전절%태협연합고빈전절
Large gastrointestinal polyps%High-frequency electrotomy%Nylon loop ligature combined with electrotomy%Titanium clip combined with high-frequency electrotomy
目的 采用单纯高频电切、尼龙绳套扎联合电切与钛夹联合高频电切三种不同方法治疗消化道大息肉,观察总结其疗效结果.方法 选择2009至2012年来我院治疗的消化道大息肉患者400例,将其分成A组即对照组100例,采用单纯高频电切治疗,B组即治疗组300例患者,在将B组分成B1组采用单纯尼龙绳套扎治疗,B2组采用尼龙绳套扎联合电切治疗,B3组采用先钛夹钳夹息肉根疗后加电切治疗;术后观察其治疗效果.结果 三种方法治疗均一次性切除消化道大息肉,单纯高频电切治疗发生穿孔现象23例、出血现象18例和创面水肿、糜烂、溃疡27例,其发生例数远高于其他两种方法,差异具有统计学意义.结论 尼龙绳套扎联合电切与钛夹联合高频电切切除消化道大息肉效果显著、安全、并发症较少,并且创面愈合情况较好,值得临床推广.
目的 採用單純高頻電切、尼龍繩套扎聯閤電切與鈦夾聯閤高頻電切三種不同方法治療消化道大息肉,觀察總結其療效結果.方法 選擇2009至2012年來我院治療的消化道大息肉患者400例,將其分成A組即對照組100例,採用單純高頻電切治療,B組即治療組300例患者,在將B組分成B1組採用單純尼龍繩套扎治療,B2組採用尼龍繩套扎聯閤電切治療,B3組採用先鈦夾鉗夾息肉根療後加電切治療;術後觀察其治療效果.結果 三種方法治療均一次性切除消化道大息肉,單純高頻電切治療髮生穿孔現象23例、齣血現象18例和創麵水腫、糜爛、潰瘍27例,其髮生例數遠高于其他兩種方法,差異具有統計學意義.結論 尼龍繩套扎聯閤電切與鈦夾聯閤高頻電切切除消化道大息肉效果顯著、安全、併髮癥較少,併且創麵愈閤情況較好,值得臨床推廣.
목적 채용단순고빈전절、니룡승투찰연합전절여태협연합고빈전절삼충불동방법치료소화도대식육,관찰총결기료효결과.방법 선택2009지2012년래아원치료적소화도대식육환자400례,장기분성A조즉대조조100례,채용단순고빈전절치료,B조즉치료조300례환자,재장B조분성B1조채용단순니룡승투찰치료,B2조채용니룡승투찰연합전절치료,B3조채용선태협겸협식육근료후가전절치료;술후관찰기치료효과.결과 삼충방법치료균일차성절제소화도대식육,단순고빈전절치료발생천공현상23례、출혈현상18례화창면수종、미란、궤양27례,기발생례수원고우기타량충방법,차이구유통계학의의.결론 니룡승투찰연합전절여태협연합고빈전절절제소화도대식육효과현저、안전、병발증교소,병차창면유합정황교호,치득림상추엄.
Objective To explore the efficacy of high-frequency electrotomy,nylon loop ligature combined with electrotomy,and titanium clip combined with high-frequency electrotomy in the treatment of large gastrointestinal polyps.Methods 400 patients with large gastrointestinal polys who had been hospitalized from 2009 to 2012 were divided into control group (100 patients,group A) and study group (300 patients,group B),and the group B was subdivided into groups B1,2 and 3.Group A treated with high-frequency electrotomy alone,group B 1 underwent nylon loop ligature alone,group B2 received nylon loop ligature combined with electrotomy,group B3 received radical treatment with titanium clip for clipping polyps and then electrotomy.The efficacy was observed among the three groups.Results All of the three procedures could remove large gastrointestinal polyps.Nylon loop ligature combined with electrotomy and titanium clip combined with high-frequency electrotomy were obviously superior to high-frequency electrotomy alone,with less occurance of perforation and haemorrhage and better wound healing.Conclusions Nylon loop ligature combined with electrotomy and titanium clip combined with high-frequency electrotomy for removal of large gastrointestinal polyps are efficacious and safe and have better wound healing and fewer complications.They are worth popularizing clinically.
