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《内镜下高频电凝电切术治疗结肠息肉38例临床分析》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、内镜下高频电凝电切术治疗结肠息肉38例临床分析邰力艾提?阿不都热依木(新疆医科大学附属肿瘤医院新疆乌魯木齐830011)【摘要】目的：研讨结肠息肉患者实施内镜下高频电凝电切术治疗的临床价值。方法：收集我院2013年12月〜2015年3月诊疗的76例结肠息肉病例,依照随机分配法分为两组，对照组38例选择传统开腹术切除息肉，观察组38例于内镜下行高频电凝电切术治疗，对比两组的围术期出血、术后卧床时间及手术安全等情况。结果：两组的息肉均经手术顺利切除。手术操作时间的对比，观察组的平均用时相比对照组明显更短，有显著差异(P<0.05),且观察组的
2、术中出血量相比对照组明显减少，有显著差异(P<0.05)o在术后指标上，观察组的术后卧床时间、平均住院日与对照组相比均明显缩短，有显著差异(P<0.05)。两组术后均可见并发症发生，观察组的总发生率是10.53%,相比对照组的31.58%明显更低，有显著差异(P<0.05)o结论：在内镜下对结肠息肉患者行高频电凝电切术治疗只有较理想的疗效，且手术安全性好，利于促进患者术后恢复，值得在临床普及使用。【关键词】结肠息肉；内镜；高频电凝电切术；临床价值【中图分类号】R574.62【文献标识码】A【文章编号】2095-1752(2016)08-0
3、055-02Clinicalanalysisof38casesofcolonpolypstreatedbyendoscopichigh-frequencyelectriccoagulationTailiaiti?Abudureyimu.AffiliatedTumorHospitalofXinjiangMedicalUniversity,UrumqiXinjiang830011,China【Abstract】ObjectiveTostudytheclinicalvalueofendoscopichigh-frequencyelectricr
4、esectioninthetreatmentofcolonpolyps.Methods76casesofcolonpolypsinourhospitalfromDecember2013toMarch2015,casesofcolonpolypswererandomlydividedintotwogroups,thecontrolgroupof38casesoftraditionalopensurgicalexcisionofpolyps,38casesofendoscopictreatment,comparedwithtwogroupso
5、fperioperativebleeding,postoperativebedtimeandoperationsafety,etc.ResultsTwogroupsofpolypsweresuccessfullyresected.Comparedwiththecontrolgroup,theaveragetimeofoperationwassignificantlyshorterthanthatofthecontrolgroup(P<0.05),andtheamountofbleedingintheobservationgroupw
6、assignificantlylowerthanthatinthecontrolgroup(P<0.05).Onthepostoperativeindicators,thepostoperativebedtimeandaveragelengthofstayintheobservationgroupweresignificantlyshorterthanthatincontrolgroup(P<0.05).Thepostoperativecomplicationsoccurredinthetwogroups,thetotalin
7、cidenceoftheobservationgroupwas10.53%,comparedtothecontrolgroupof31.58%significantlylower,therewasasignificantdifference(P<0.05).ConclusionThetreatmentofcolonpolypspatientswithhighfrequencyelectriccoagulationinendoscopictreatmenthasbettercurativeeffect,andthesafetyofop
8、erationisgood,whichcanpromotetherecoveryofpatients,itisworthyofpopularizationinclinicalpractice.
