摘要
目的:明确内镜下黏膜切除术治疗结肠粗蒂性息肉的临床效果,以及分析对疾病复发率的影响。方法:选取2019年6月-2021年6月萍乡矿业集团有限责任公司总医院98例结肠粗蒂性息肉患者,随机将其分为观察组与对照组,每组49例。观察组予以内镜下黏膜切除术治疗,对照组予以内镜黏膜下剥离术治疗。分析所有患者的病理检查结果,比较两组迟缓型出血发生情况、复发情况、术后恢复情况。结果:98例结肠息肉患者中,检出279枚息肉,均被切除,切除率为100%。其中,炎性息肉占比19.35%(54枚),增生性息肉占比6.45%(18枚),错构瘤性息肉占比0.36%(1枚),腺瘤性息肉占比36.92%(103枚)。腺瘤性息肉中,管状腺瘤占比41.75%(43枚),管状-绒毛状腺瘤占比29.13%(30枚),绒毛状腺瘤占比29.13%(30枚)。两组迟缓型出血发生率比较,差异无统计学意义(P>0.05);两组复发率比较,差异有统计学意义(P<0.05);观察组排气时间、进食时间、排便时间均较对照组更短(P<0.05)。结论:针对结肠粗蒂性息肉的临床治疗,内镜下黏膜切除术与内镜黏膜下剥离术均是可推广的手术治疗方式,兼顾安全性与有效性,但是相比较而言,内镜下黏膜切除术治疗操作更加简洁,可降低复发率,临床具体应用需要结合患者的实际情况与病情合理选择。
Objective:To clarify the clinical effect of endoscopic mucosal resection in the treatment of colonic thick pedicle polyps,and to analyze the effect on the recurrence rate of the disease.Method:From June 2019 to June 2021,98 patients with colonic thick pedicle polyps in General Hospital of Pingxiang Mining Industry Group Co.,Ltd.were selected and randomly divided into observation group and control group,with 49 cases in each group.The observation group was treated with endoscopic mucosal resection,and the control group was treated with endoscopic submucosal dissection.The pathological examination results of all patients were analyzed,and the occurrence of delayed hemorrhage,recurrence and postoperative recovery were compared between the two groups.Result:Among 98 patients with colon polyps,279 polyps were detected and all of them were resected with a resection rate of 100%.Among them,inflammatory polyps accounted for 19.35%(54 polyps),hyperplastic polyps accounted for 6.45%(18 polyps),hamartomatous polyps accounted for 0.36%(1 polyp),and adenomatous polyps accounted for 36.92%(103 polyps).Among the adenomatous polyps,41.75%(43 polyps)were tubular adenomas,29.13%(30 polyps)were tubular villous adenomas and 29.13%(30 polyps)were villous adenomas.There was no significant difference in the incidence of delayed hemorrhage between the two groups(P>0.05).The recurrence rate of the two groups was statistically significant(P<0.05).The exhaust time,feeding time and defecation time in the observation group were shorter than those in the control group(P<0.05).Conclusion:For the clinical treatment of coarse pedicled polyps of the colon,endoscopic mucosal resection and endoscopic submucosal dissection are both scalable surgical treatment methods,taking into account both safety and effectiveness.However,in comparison,endoscopic mucosal resection is more concise and can reduce the recurrence probability.Specific clinical applications should be reasonably selected based on the actual situation and condition of patients.
作者
吴文朝
彭纯
叶哲
赖运庆
曾欧阳
WU Wenchao;PENG Chun;YE Zhe;LAI Yunqing;ZENG Ouyang(General Hospital of Pingxiang Mining Industry Group Co.,Ltd.,Pingxiang 337000,China;不详)
出处
《中国医学创新》
CAS
2023年第4期58-62,共5页
Medical Innovation of China
关键词
内镜下黏膜切除术
结肠粗蒂性息肉
腺瘤性息肉
Endoscopic mucosal resection
Colonic thick pedicle polyps
Adenomatous polyp
