摘要
目的:探讨腹腔镜监控下的肠息肉摘除术(LMCP)治疗效果,比较LMCP肠息肉摘除术对比常规肠镜下息肉切除的临床治疗效果及预后情况。方法:将符合条件的所有手术患者随机分为两组,每组各41例,其中试验组使用腹腔镜监控下结肠镜息肉摘除术,对照组单纯使用肠镜行息肉切除术。所有病人均观察并记录其预后情况。结果:研究共纳入82例病人,男53例,女29例,平均年龄70岁。息肉平均大小为2.0 cm。所有患者术后无并发症。试验组和对照组的第一次通便时间分别为13.2 h和24.5h,统计学具有显著性差异P<0.001,风险比为1.81,95%置信区间为[1.13-3.00]。试验组和对照组的总住院天数分别为4.5天和8.0天,统计学具有显著性差异P<0.001,风险比为4.15,置信区间95%CI为[2.40-7.18]。结论:LMCP术对病人具有显著的获益,可以避免不必要的并发症,手术操作更安全。因此,LMCP是一种安全有效的方法,并且创伤更小,住院周期更短,是息肉切除术首选的方法。
Objective： To evaluate laparoscopic surgery under the supervision of intestinal polyps treatment, comparing double mirror joint（LMCP） intestinal polyp excision contrast clinical outcomes and prognosis of conventional colonoscopy polypectomy.Methods： 822 cases of surgery were randomly divided into two groups, each 411 cases. Patients in the experimental group were under the supervision of the use of laparoscopic colonoscopy polypectomy, while in line control group colonoscopy polypectomy was applied.All patients were observed and their prognosis were recorded. Results： 82 patients, 53 males and 29 females, were with an average age of70 years. The average size of the polyps was 2.0cm. The first test group and the control group catharsis time was 2.7 hours and 24.5hours, with a statistically significant difference P0.001, hazard ratio 1.81, 95% CI [1.13-3.00]. Figure 1B shows that the total number of days of hospitalization experimental group and the control group was 4.5 days and 8.0 days, respectively, with a statistically significant difference P0.001, hazard ratio 4.15, 95% CI, confidence interval [2.40-7.18]. Conclusions： Laparoscopic excision of intestinal polyps under surveillance for patients with significant benefits, and these benefits are obvious. Therefore, it is a safe and effective method, less invasive, shorter hospitalization period, and is the preferred method polypectomy.
出处
《现代生物医学进展》
CAS
2015年第10期1858-1861,共4页
Progress in Modern Biomedicine
基金
上海市科学技术委员会科研基金项目(13DZ1942800)
关键词
肠息肉
腹腔镜
结肠镜
手术
疗效
预后
Intestinal polyps Laparoscopy Colonoscopy Surgery Efficacy Prognosis
