摘要
目的探讨不同黏膜下注射液对内镜下消化道息肉切除的影响。方法高频电切除消化道息肉病人60例,随机分为两组,对照组30例,术中所用黏膜下注射液为生理盐水加亚甲蓝;观察组30例,术中所用黏膜下注射液为甘油果糖加亚甲蓝,两种黏膜下注射液均加入少量肾上腺素,比较两组治疗效果。结果两组均一次性成功完成手术。观察组黏膜下注射液用量、操作时间和重复注射例数均少于对照组,差异有显著性(t′=3.511、2.954,χ2=5.454,P<0.05)。随访6个月,两组均未出现复发情况,切口创面愈合良好。结论内镜下消化道息肉切除术中采用甘油果糖加亚甲蓝作为黏膜下注射液效果较好。
Objective To investigate the influence of different submucosal injections on endoscopic resection of polyps in digestive tract. Methods By employing high frequency electrotomy, 60 patients with gastrointestinal polyps were equally ran- domized to two groups as control and observation group. To the patients in control group, the submucosal injections of normal sa- line plus methylene blue at surgery were done; to those in observation group, submucosal injections of glycerine-fructose plus methylene blue were offered. Small amounts of adrenalin were added to the injections of both groups. The effectiveness between the two groups was compared. Results The operations in both groups were completed in one time. The dosage of the injec- tions, operating time and the cases of duplicate injection in the observation group were less than that in the control group （t＇ = 3. 511,2. 954;x^2= 5. 454;P〈0.05）. All the patients were cured and no recurrences were recorded in six months of follow-up. Conclusion Submucosal injection of glycerine-fructose plus methylene blue to be used for endoscopic polypectomy may obtain a good effectiveness.
出处
《齐鲁医学杂志》
2012年第6期523-524,527,共3页
Medical Journal of Qilu
关键词
内窥镜检查
胃肠道
息肉
黏膜下注射
endoscopy
gastrointestinal tract
polyps
submucmal injection
