无痛肠镜下行肠息高频电凝切除术临床疗效分析.docVIP

无痛肠镜下行肠息肉高频电凝切除术临床疗效分析 　　[摘要] 目的 分析利用无痛肠镜行高频电凝切除术对于肠息肉患者的治疗效果。 方法 选取我院在2013年3月～2015年1月治疗的57例肠息肉患者作为本文的临床研究资料，入选的57例患者在无痛电子肠镜条件下接受电凝切除治疗。 结果 在57例中完全切除息肉56例，未完全切除1例，残留切除0例；在围术期中出现的并发症方面，热灼伤3例，延迟出血5例，轻度腹胀1例，肠道穿孔1例，总发生率为17.54%。在手术时间、出血量、住院时间与电切创面的愈合时间方面，本组手术时间为（62.85±10.37）min，出血量为（16.95±9.65）mL，住院时间为（5.31±1.61）d，创面的愈合时间为（25.14±2.56）d。 结论 在对肠息肉患者进行电凝电切治疗时应用无痛肠镜可以显著改善治疗效果。 中国论文网 /6/viewhtm　　[关键词] 电凝切除；高频；肠息肉；无痛肠镜 　　[中图分类号] R735.3 [文献标识码] B [文章编号] 1673-9701（2015）29-0058-03 　　Analysis of clinical efficacy of intestinal polyp high frequency electrocoagulation resection under painless enteroscopy 　　XU Hongmei 　　Endoscopic Room， Yantai Zhifu Hospital in Shandong Province， Yantai 264000， China 　　[Abstract] Objective To analyze the treatment effects of high frequency electrocoagulation resection under painless enteroscopy on the patients with intestinal polyp. Methods Fifty-seven patients with intestinal polyp treated in our hospital from March 2013 to January 2015 were selected as the clinical study subjects and all the 57 patients were given high frequency electrocoagulation resection under painless enteroscopy. Results Of the 57 patients， 56 patients had complete polyp resection， 1 patient had incomplete polyp resection and none had residual polyp resection. Regarding to perioperative complications， there were 3 patients with thermal burns， 5 patients with delayed bleeding， 1 patient with mild abdominal distension and 1 patient with bowel perforation， with the total incidence of 17.54%. Regarding to operative time， bleeding loss， hospital stay and electric resection wound healing time， this group of patients had operative time of （62.85±10.37） minutes， blood loss of （16.95±9.65） mL， hospital stay of （5.31±1.61） days and wound healing time of （25.14±2.56） days. Conclusion In the electrocoagulation and electric resection treatment of patients with polyp， the application of painless enteroscopy can significantly improve the treatment effects. 　　[Key words] Electrocoa