无痛胃镜下高频电凝切除胃息肉的疗效

温志辉

[摘要]目的 观察与分析无痛胃镜下高频电凝切除胃息肉的临床治疗效果。方法 选取2015年8月～2017年3月在我院接受胃息肉切除术的110例患者作为研究对象，按照其治疗方式的不同分为常规组与无痛组，每组各55例。常规组采用活检夹除术，无痛组采用无痛胃镜下高频电凝切除术，比较两组患者的临床治疗效果及并发症发生率。结果 无痛组患者的临床治疗有效率高于常规组，差异有统计学意义（P<0.05）；无痛组患者的住院时间短于对照组，差异有统计学意义（P<0.05）；无痛组患者的临床并发症发生率低于常规组，差异有统计学意义（P<0.05）。结论 对临床胃息肉患者行无痛胃镜下高频电凝切除术，临床治疗效果较为显著，并发症发生率较低，值得临床推广及应用。

[关键词]无痛胃镜；高频电凝；胃息肉；疗效及护理

[中图分类号] R735 [文献标识码] A [文章编号] 1674-4721（2018）5（b）-0045-03

Efficacy of high-frequency electrocoagulation on the removal of gastric polyps under painless gastroscope

WEN Zhi-hui

Department of Gastroenterology，Pingxiang People′s Hospital in Jiangxi Province，Pingxiang 337055，China

[Abstract]Objective To observe and analyze the clinical effect of high-frequency electrocoagulation on the removal of gastric polyps under painless gastroscope.Methods A total of 110 patients performed resection of gastric polyps treated in our hospital from August 2015 to March 2017 were selected as the subjects，and divided into conventional group and painless grou according to different treatment methods，55 cases in each group.In the conventional group，clip during biopsy was used，while in the painless group，high-frequency electrocoagulation under painless gastroscope was adopted.The clinical therapeutic effect and incidence of complications were compared between the two groups.Results The clinical effectiveness rate in the painless group was higher than that in the conventional group，the difference was statistically significant （P<0.05）.The hospital stay in the painless group was shorter than that in the control group，the difference was statistically significant （P<0.05）.The incidence of clinical complications in the painless group was lower than that in the conventional group，the difference was statistically significant （P<0.05）.Conclusion For patients with gastric polyp，high-frequency electrocoagulation resection under painless endoscope can obtain a remarkable therapeutic effect in a low incidence of complications，which is worthy of clinical promotion and application.

[Key words]Painless gastroscope；High-frequency electrocoagulation；Gastric polyp；Efficacy and nursing

临床中胃息肉的检出率较低，胃息肉的发生因素有很多，如黏膜上皮或纤体过度增生均会导致胃腔的宽基底、胃腔帶蒂隆起，发生良性病变[1-2]。由于胃息肉大多数是良性，其发生与萎缩性胃炎、腺瘤性息肉、肠上皮化有一定的关系，所以癌变的发生率较高，一般为9%～20%，一经发现，应尽早进行切除治疗[3-5]。在临床中，多数患者均为胃镜检出，而选择胃镜下高频切除胃息肉具有一定的安全性，已成为临床切除胃息肉的首选方法，但这种治疗方式存在一定的弊端，会导致临床出现并发症，如出血、慢性溃疡、穿孔、腹痛等[6]。经临床调查并发症的发生率与患者的配合度有关，为了减少临床并发症的发生，减轻患者术中痛苦，可选用无痛胃镜，其是借助麻醉技术让患者在浅麻醉下完成检测，从而减轻患者检测时的痛苦，且能够迅速恢复，是目前临床中较为安全的一种手术方法[7-8]。……