内镜下氩离子凝固术联合高频电刀治疗胃肠息肉的临床效果观察.docVIP

内镜下氩离子凝固术联合高频电刀治疗胃肠息肉的临床效果观察 　　doi：10.3969/j.issn.1007-614x.2014.15.23 　　摘 要 目的：探讨胃肠息肉临床治疗中内镜下氩离子凝固术与高频电刀联合治疗方法的治疗效果。方法：2010年5月-2012年5月收治胃肠息肉患者80例，随机分成观察组和对照组，每组40例，观察组全部进行内镜下氩离子凝固术联合高频电刀治疗，对照组全部进行电凝联合高频电刀方法治疗，对比分析两组患者胃肠息肉切除有效性。结果：观察组胃肠息肉全部一次性切除，并且手术进行顺利；对照组胃肠息肉一次性切除34例（85.0%）。两组患者胃肠息肉一次性切除率差异存在统计学意义（P=0.05）。结论：内镜下氩离子凝固术联合高频电刀治疗胃肠息肉临床效果良好，是一种比较安全有效的治疗方法，可以在临床中推广应用。 　　关键词 胃肠息肉 氩离子凝固术 高频电刀 内镜 　　Clinical effect observation of endoscopic argon plasma coagulation combined with high frequency electric knife in the treatment of gastrointestinal polyps 　　Guo Guiyuan，Huang Zicheng 　　The First Hospital of Quanzhou City，Fujian 362000 　　Abstract Objective：To explore the treatment effect of endoscopic argon plasma coagulation combined with high frequency electric knife in the treatment of gastrointestinal polyps.Methods：80 patients with gastrointestinal polyps were selected from May 2010 to May 2012.They were randomly divided into the observation group and the control group with 40 cases in each.The observation group were treated with endoscopic argon plasma coagulation combined with high frequency electric knife treatment method.The control group were treated with electrocoagulation combined with high frequency electric knife.The removal efficiency of gastrointestinal polyps in the two patients were compared and analyzed.Results：In the observation group，the gastrointestinal polyps were all one-time resected.The operation was successful.In the control group，the gastrointestinal polyps were resected in 34 cases（85.0%）.The difference of the one-time resection rate of gastrointestinal polyp in the two groups was statistically significant，P=0.0410.05.Conclusion：The endoscopic argon plasma coagulation combined with high frequency electric knife treatment method has a good clinical effect for gastrointestinal polyps.It is a safe and effective therapeutic method，so it can be widely used in clinical practice. 　　Key words Gastrointestinal polyps；Endoscopic argon plasma coagul