无痛胃镜下高频电凝切除术治疗胃息肉患者的短期随访效果.docxVIP

无痛胃镜下高频电凝切除术治疗胃息肉患者的短期随访效果 　　【摘要】目的：觀察无痛胃镜下高频电凝切除术治疗胃息肉患者的短期随访效果。方法：抽取2017年2月-2018年2月就诊于笔者所在医院的胃息肉患者110例，按照随机原则分为观察组和对照组，每组55例。观察组采取无痛胃镜下高频电凝切除术治疗，对照组采取常规胃镜下高频电凝切除术治疗。结果：观察组手术时间、住院时间均显著短于对照组，术中失血量显著少于对照组（p0.05）。观察组术后胃出血、腹胀、胃穿孔、腹痛的总发生率（3.64%）显著低于对照组（18.18%），差异有统计学意义（p0.05）。随访期间，观察组复发率为3.64%，显著低于对照组的23.64%（p0.05）。结论：对胃息肉患者采取无痛胃镜下高频电凝切除术治疗，可缩短手术操作时间，术中失血量较少、术后恢复较快，能够提升治疗效果，降低复发率，对于患者获得良好的短期效果具有显著的应用价值。 　　【关键词】无痛胃镜;高频电凝术;胃息肉;短期随访效果 　　doi：10.14033/j.cnki.cfmr.2019.26.061文献标识码b文章编号1674-6805（2019）26-0-03 　　short-termfollow-upresultsofhigh-frequencyelectrocoagulationunderpainlessgastroscopeinthetreatmentofgastricpolyps/linlongcong，zhanganping.//chineseandforeignmedicalresearch，2019，17（26）：-139 　　【abstract】objective：toobservetheshort-termfollow-upeffectofhigh-frequencyelectrocoagulationunderpainlessgastroscopeinthetreatmentofgastricpolyps.method：atotalof110patientswithgastricpolypswhoweretreatedinourhospitalfromfebruary2017tofebruary2018wererandomlydividedintotheobservationgroupandthecontrolgroup，55casesineachgroup.theobservationgroupweretreatedbyhigh-frequencyelectrocoagulationunderpainlessgastroscope，whilethecontrolgroupweretreatedbyconventionalhigh-frequencyelectrocoagulationundergastroscope.result：theoperationtimeandthehospitalizationtimeintheobservationgroupweresignificantlyshorterthanthoseofthecontrolgroup，andintraoperativebloodlossintheobservationgroupwassignificantlylessthanthatofthecontrolgroup（p0.05）.thetotalincidenceofgastricbleeding，abdominaldistension，gastricperforationandabdominalpainafteroperationintheobservationgroup（3.64%）wassignificantlylowerthanthatofthecontrolgroup（18.18%），thedifferencewassignificant（p0.05）.duringthefollow-upperiod，therecurrencerateoftheobservationgroup（3.64%）wassignificantlylowerthanthatofthecontrolgroup（23.64%），thedifferencewassignificant（p0.05）.conclusion：high-frequencyelectrocoagulationunderpainlessgastroscopecanshortentheoperationtime，reduceintraoperativebloodlossandrecoverquicklyafteroperation.itcanimprovethether