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1、胃肠镜下消化道息肉高频电凝电切术临床应用疗效及安全性观察粟锡康(长宁县人民医院四川宜宾644300)【摘要】R的:探讨胃肠镜不消化道息肉高频电凝电切治疗的临床疗效及安全性。方法:选取我院2013年9月至2014年11月收治的135例消化道息肉患者,本研究屮患者均行胃肠镜卜*高频电凝切除术,对本研究临床疗效、并发症发生率加以分析、总结。结果:本研宂屮患者135例,消化道息肉共189枚,185枚息肉经胃肠镜卜行高频电凝一次性切除,切除率为97.9%(185/189),余卜4枚息肉经胃肠镜卜行高频电凝行二次切除,二次切除率为100.0%;本研究入组患者共135例,其屮,
2、5例有出血现象,以金属钛夹等治疗成功止血,未见消化道穿孔现象,并发症发生率为3.7%(5/135)。在随访的6个月〜2年屮,腺瘤性息肉患者复发1例,但经再次切除后痊愈。结论:胃肠镜K消化道息肉高频电凝电切术简便快捷且疗效良好,安全可靠,故值得借鉴在县级以不基层医院广泛推广。【关键词】消化道息肉;高频电凝电切;胃肠镜;疗效与安全性【中图分类号】R573【文献标识码】A【文章编号】2095-1752(2016)21-0072-02Clinicaleffectofgastrointestinalendoscopiching-frequencyelectro-coagul
3、ationinthetreatmentofdigestivetractpolyps[Abstract]ObjectiveToevaluateclinicalefficacyandsafetyofthegastrointestinalendoscopichigh-frequencyelectro-coagulationinthetreatmentofdigestivetractpolyps.MethodsSeptember2013toNovember2014inourhospitaltreated135patientswithgastrointestinalpoly
4、ps,inthisstudy,patientsunderwentresectionofgastrointestinalendoscopichigh-frequencyelectrocoagulation,toanalysetheclinicalefficacyandcomplicationrateinthisstudyandsummarized.ResultsThisresearchinthepatients135cases,Digestroadpolypstotal189gold,185goldpolypsbygastrointestinalmirrordown
5、highfrequencyelectricgelone-timeresection,resectionratefor97.9%(185/189),remaining4GoldpolypsbygastrointestinalmirrordownhighfrequencyelectricgellineIItimesresection,IItimesresectionratefor100%;thisresearchintogrouppatientstotal135cases,which,5caseshasbleedingphenomenon,tometaltitaniu
6、mclip,treatmentsuccessbleeding,notseeDigestroadperforationphenomenon,complicationsoccurredratefor3.7%(5/135).Inthefollow-upof6monthsto2years,recurrenceofadenomatouspolypsin1,butonceagainhealingafterexcision.ConclusionGastrointestinalendoscopicTransurethralresectionofgastrointestinalpo
7、lypunderhighfrequencyelectrocoagulationeasyandeffective,safeandreliable,sothereferencebelowthecountylevelwidelyinprimaryhospital.【Keywords]Gastrointestinalpolyps;Highfrequencyinductionfurnace;Gastrointestinalendoscopes;Efficacyandsafety消化道息肉是消化道粘膜发生局限隆起性的病变,以结肠息肉居多[1】。胃肠镜技术的不断进步,消化道息肉
8、检出率也随