CAJ | 학술논문

目的：探讨内镜粘膜切除术治疗结肠无蒂息肉的效果及安全性。方法回顾分析该院2011年5月—2012年5月收治的160例180枚结肠息肉患者，分别行EMR和单纯电切术，观察术中、术后并发症及术后复发情况，分为EMR组和电切组，每组80例。结果 EMR组未能完整切除、术中出血、切口过深共13例，无术后出血、穿孔、息肉复发病例，均送病理检查，并发症总发生率16.25%。电切组未能完整切除、术中出血、术后出血、穿孔、息肉复发、无法送病理检查者共40例，并发症总发生率50.00%。 EMR组总并发症明显低于电切组（P<0.05)。结论EMR术治疗有效、安全，操作简单，具有诊断及治疗双重意义，是一种安全有效的治疗方法。
목적：탐토내경점막절제술치료결장무체식육적효과급안전성。방법회고분석해원2011년5월—2012년5월수치적160례180매결장식육환자，분별행EMR화단순전절술，관찰술중、술후병발증급술후복발정황，분위EMR조화전절조，매조80례。결과 EMR조미능완정절제、술중출혈、절구과심공13례，무술후출혈、천공、식육복발병례，균송병리검사，병발증총발생솔16.25%。전절조미능완정절제、술중출혈、술후출혈、천공、식육복발、무법송병리검사자공40례，병발증총발생솔50.00%。 EMR조총병발증명현저우전절조（P<0.05)。결론EMR술치료유효、안전，조작간단，구유진단급치료쌍중의의，시일충안전유효적치료방법。
Objective To observe the effect and safety of endoscopic mucosal resection in the treatment of sessile colon polyps. Methods A retrospective analysis was conducted on 160 cases with colonic polyps (180 colonic polyps ) admitted in our hospital. The patients were divided into two groups, the EMR group and the electrotomy group with 80 cases in each, treated by EMR, elec-trotomy, respectively. And the intraoperative state, postoperative complications and postoperative recurrence of the two groups were observed. Results In the EMR group, a total of 13 patients had incomplete excision, or intraoperative bleeding or too deep inci-sion, no postoperative bleeding, perforation, polyp recurrence cases, all the excisional polyps were examined pathologically, the overall incidence of complications was 16.25%. In the electrotomy group, a total of 40 cases had incomplete excision, intraopera-tive bleeding, postoperative bleeding, perforation, polyp recurrence or the excisional polyps could not send for pathology examina-tion, the overall incidence of complications was 50.00%. The EMR group had much less complications than the electrotomy group (P<0.05). Conclusion EMR is safe, effective, easy to operate with the value of diagnosis and treatment. It is a safe and effective treatment method.