内镜下橡皮圈套扎与高频电切除术治疗消化道息肉的临床效果比较

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1、内镜下橡皮圈套扎与高频电切除术治疗消化道息肉的临床效果比较王莹罗红来厉琴李静如汪银莹仇学明樊荣解放军八二医院摘要：A的:分析内镜下橡皮圈套扎与高频电切除术治疗消化道息肉的临床效果。方法:80例择期行手术治疗的消化道息肉患者随机分为研宂组(n=40)和对照组(n=40)。研宄组行内镜下橡皮圈套扎、对照组单纯行高频电切除术。术后2周复查内镜，了解两组手术效果，统计两组不同消化道病变部位息肉摘除成功率及手术并发症，并随访至少1年了解息肉复发或癌变情况。结果:研宄组息肉摘除时间、创面愈合时间明显较对照组短，研究组息肉摘除成功率100.00%显著高于对照组87.50%，其中肠息肉摘除成功率

2、、食管息肉摘除成功率均显著高于对照组，且无息肉残留，差异有统计学意义。研宄组并发症发生率为15.00%显著低于对照组37.50%,且研究组并发两种及以上并发症发生率为5.00%显著低于对照组20.00%。两组随访期间均未见复发或癌变。结论:应用内镜下橡皮圈套扎治疗消化道息肉可在保障息肉摘除成功率的基础上，促进创面愈合，减少并发症，提高手术安全性。关键词：内镜;橡皮圈套扎;高频电切除术;消化道息肉;作者简介：罗红来，E-mail:277314168@qq.com收稿日期：2017-09-12Comparisonoftheclinicaleffectsofendoscopicliga

3、tionwithrubberbandandhigh-frequencyelectroresectioninthetreatmentofgastrointestinalpolypsWangYingLuoHong-laiLiQinLiJing-ruWangYin-yingQiuXue-mingFanRongDepartmentofGastroenterology，PLA82Hospital;Abstract：ObjectiveToanalyzetheclinicaleffectsofendoscopicligationwithrubberbandandhigh-frequencyel

4、ectroresectioninthetreatmentofgastrointestinalpolyps.MethodsAtotalof80patientswithgastrointestinalpolypswererandomlydividedintothestudygroup(n=40)andthecontrolgroup(n=40).Thestudygroupweretreatedwithendoscopicligationwithrubberbandandthecontrolgroupweretreatedwithhigh-frequencyelectroresectio

5、nalone.2weeksaftersurgery,endoscopywasperformedtounderstandthesurgicaleffectsinthetwogroups.Thesuccessrateofpolypremovalindifferentdiseasedregionsandcomplicationsinthetwogroupswerestatisticallyanalyzed,andallpatientswerefollowedupforatleast1yeartounderstandthestatusofrecurrenceorcanceration.R

6、esultsThedurationofpolypremovalandwoundhealingtimewassignificantlyshorterinthestudygroupthanthecontrolgroup.Thesuccessrateofpolypremovalwassignificantlyhigherinthestudygroupthanthecontrolgroup(100.00%vs87.50%)，andthesuccessratesofintestinalpolypremovalandesophagealpolypremovalweresignificantl

7、yhigherinthestudygroupthanthecontrolgroup,withoutpolypresidue.Theincidenceofcomplicationswassignificantlylowerinthestudygroupthanthecontrolgroup(15-00%vs37.50%)，andtheincidenceofmorethantwocomplicationswassignificantlylowerinthestudygroupthan