CAJ | 학술논문

目的：对NBI内镜下氩离子凝固术治疗大肠息肉的疗效及安全性进行分析，证实其临床价值。方法选取该院2012年10月—2013年10月期间收治的136例大肠息肉患者作为研究对象，依据随机数字表法分为观察组和对照组，每组68例。对照组采用高频电凝切除术进行治疗，观察组运用NBI内镜下氩离子凝固术治疗，对两组治疗后的疗效、安全性及复发率进行比较分析。结果手术均获成功，术后随访3个月发现，观察组息肉治愈66例，未治愈2例，治愈率97.1%，明显优于对照组的88.2%，且差异有统计学意义（P<0.05）；对照组并发症发生率为10.3%，观察组为4.4%，组间比较，差异有统计学意义（P<0.05）。结论NBI内镜下氩离子凝固术应用于大肠息肉的治疗中，具有安全性高，复发率低等优势，适合临床推广使用。
목적：대NBI내경하아리자응고술치료대장식육적료효급안전성진행분석，증실기림상개치。방법선취해원2012년10월—2013년10월기간수치적136례대장식육환자작위연구대상，의거수궤수자표법분위관찰조화대조조，매조68례。대조조채용고빈전응절제술진행치료，관찰조운용NBI내경하아리자응고술치료，대량조치료후적료효、안전성급복발솔진행비교분석。결과수술균획성공，술후수방3개월발현，관찰조식육치유66례，미치유2례，치유솔97.1%，명현우우대조조적88.2%，차차이유통계학의의（P<0.05）；대조조병발증발생솔위10.3%，관찰조위4.4%，조간비교，차이유통계학의의（P<0.05）。결론NBI내경하아리자응고술응용우대장식육적치료중，구유안전성고，복발솔저등우세，괄합림상추엄사용。
Objective of NBI endoscopic argon ion coagulation treatment efficacy and safety of colon polyps were analyzed, and proved its clinical value. Methods select our hospital in October 2012 - in October 2013, admitted during the period of 136 pa-tients with colon polyps as the research object, based on the random number table method was divided into observation group and control group, 68 cases in each group. Resection of the control group using high frequency electric coagulation treatment, observa-tion group using NBI endoscopy for the treatment of argon ion coagulation, on two groups to compare the efficacy, safety, and the recurrence rate after analysis. Results success by operation results were followed up for 3 months, found that polyp cured 66 cases of observation group, not cured in 2 cases, cure rate 97.1%, better than the control group 88.2%, and significant difference (P <0.05); The complication rate of control group was 10.3%, the observation group was 4.4%, the comparison between groups, with significant difference (P<0.05). Conclusion the NBI endoscopic argon ion coagulation technique applied in the treatment of colon polyps, has high safety, low recurrence rate advantages, suitable for clinical use.