摘要
目的:探讨内镜下治疗结肠息肉的临床疗效.方法:随机抽取2012-05/2015-03宁夏回族自治区固原市原州区人民医院消化内科收治的结肠息肉患者96例的临床资料.根据临床治疗方法将患者分为实验组和对照组,实验组患者例数为50例,对照组患者例数为46例.对照组患者采取手术切除治疗,实验组患者采取内镜下切除治疗.观察两组患者住院时间、花费、术后禁食时间;观察两组患者术后并发症发生情况和术中、术后相关情况.结果:术中,实验组患者出血量显著低于对照组(P<0.05).术后,实验组患者卧床时间显著低于对照组(P<0.05),焦虑和日常生活活动能力评分显著低于对照组(P<0.05).实验组患者住院时间、花费、术后禁食时间和术后并发症发生率均低于对照组(27.88 h±4.69 h vs 64.62 h±6.45 h,2648.25元±112.45元vs 6614.25元±130.69元,32.69 h±6.66 h vs 58.72 h±7.35 h,6.00%vs 23.91%,P<0.05).结论:内镜下治疗结肠息肉临床疗效较好,可有效缩短患者住院时间和术后禁食时间,而且手术花费减少、患者术后并发症发生率较低,值得临床推广.
AIM：To evaluate the safety and effectiveness of endoscopic therapy in patients with colonic polyps.METHODS：Ninety-six patients with colonic polyps were divided into a study group（50cases） and a control group（46 cases） according to the treatment method.The control group was treated by surgical excision,and the study group was treated by endoscopic therapy.Hospital stays,costs,postoperative fasting time,and complications were compared for the two groups.RESULTS：The bleeding volume in the study group was significantly lower than that in the control group（P〈0.05）.The duration of bed rest was significantly shorter in the study group than in the control group（P〈0.05）.The scores of anxiety and activity of daily living were significantly lower in the study group than in the control group（P〈0.05）.The hospital stays,costs,and postoperative fasting time were significantly lower in the study group than in the control group（27.88 h±4.69 h vs 64.62 h±6.45 h,2648.25 yuan±112.45 yuan vs 6614.25yuan±130.69 yuan,32.69 h±6.66 h vs 58.72 h±7.35 h,P〈0.05）.The rate of complications was significantly lower in the study group than in the control group（6.00%vs 23.91%,P〈0.05）.CONCLUSION：Endoscopic therapy has good clinical effects for patients with colonic polyps,and it can reduce hospital stays,costs,postoperative fasting time,and complications.
出处
《世界华人消化杂志》
CAS
2015年第28期4585-4588,共4页
World Chinese Journal of Digestology
关键词
内镜
结肠息肉
疗效
Endoscopic therapy
Colonic polyps
Clinical effects
作者简介
通讯作者：雍和礼，副主任医师，756000，宁夏回族自治区固原市原州区文化东路41号，宁夏回族自治区固原市原州区人阜垦堕潭化内科．yheliyong@163．com
