摘要
目的针对出现结直肠息肉癌变患者分析其的临床特征,并探讨实行内镜与手术的疗效情况以及随访。方法此次研究中山市陈星海医院通过选取时间段在2015年4月-2019年3月治疗的100例结直肠息肉癌变患者参与研究,同时得到了医院高层医学伦理委员会高层人员的批准。将收治的患者按照入院时间均分为常规组(n=50)与内镜组(n=50)。将常规外科手术切除术用于治疗常规组患者,而内镜下切除术用于治疗内镜组患者。通过治疗后观察两组患者治疗后并发症发生概率、术后随访、住院时间。结果内镜组患者并发症总发生率明显低于常规组,且住院时间显著短与常规组,数据差异具有统计学意义(P<0.05);经过术后6个月~1年的随访,患者到院复查1次,仅为出现再发或是病灶残留。但是部分患者其他位置出现新的良性息肉,经过内镜切除治愈。术后6个月内镜组患者经检查线束肠黏膜恢复正常,而常规组患者出现瘢痕。随访1年两组患者复发率比较差异无统计学意义(P>0.05)。结论面对收治的结直肠息肉癌变患者给予内镜术治疗效果更为显著,经过随访发现患者病情恢复快。
Objective To analyze the clinical characteristics of canceration of colorectal polyps,and to probe into the clinical characteristics,endoscopy and operation of colorectal polyp canceration.Methods 100 patients with colorectal polyp canceration treated in the hospital from April,2015 to March,2019 and participated in the experiment were selected,and were approved by senior medical ethics committee in the hospital.And the patients were divided into two groups,including the routine group(n=50 cases)and the endoscopic group(n=50 cases)according to the time of admission.The routine group were treated with routine surgical excision treatment,while the endoscopic group were treated with endoscopic resection.Then,the incidence of complications,the follow-up after operation and the hospitalization time of two groups were observed.Results The total incidence of complications in endoscopy group was significantly lower than that in routine group,the hospitalization time was significantly shorter than that in the routine group,and the difference of the data was statistically significant(P<0.05).After follow-up for 6 months to 1 year,the patients were reexamined once,only recurrence or residual lesions occurred.But some patients had new benign polyps in other places.They were cured by endoscopic resection.6 months after operation,the intestinal mucosa of the endoscopic group were returned to normal,while the routine group had scars.There was no significant difference of the recurrence rate after follow up for 1 year of two groups(P>0.05).Conclusion The endoscopic treatment is more effective for patients with colorectal polyp canceration,and the patients recover quickly.
作者
何洪标
HE Hong-biao(Department of Gastroenterology,Zhongshan Chen Xinghai Hospital,Zhongshan,Guangdong,528415,China)
出处
《黑龙江医学》
2020年第9期1175-1177,共3页
Heilongjiang Medical Journal
关键词
结直肠息肉癌变
临床特征
内镜切除术
常规外科手术切除术
疗效分析
Colorectal polyp canceration
Clinical characteristics
Endoscopic resection
Conventional surgical resection
Efficacy analysis
