ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-01-015 临床药物与手术治疗 2026, (01)

探索内镜下黏膜切除术在肠息肉治疗中的临床效果

陇南市第一人民医院

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摘要

摘要:目的 探索内镜下黏膜切除术在肠息肉治疗中的临床效果。方法 选择 2023 年 2 月至 2025 年 2 月期间陇南市第一人民医院收治的 98 例肠息肉患者,根据随机数字表法分为两组,观察组(n=49)给予内镜下黏膜切除术治疗,对照组(n=49)给予高频电切术治疗,比较两组患者治疗总有效率、炎症指标、并发症发生率、围术期指标(手术时间、息肉切除时间、首次进食时间、出血量)。结果 观察组治疗总有效率高于对照组,差异有 统计学意义(P<0.05)。观察组术后的白细胞介素 -6、C 反应蛋白均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。在手术时间、息肉切除时间、首次进食时间、出血量围术期指标方面,观察组优于对照组,差异有统计学意义(P<0.05)。结论 内镜下黏膜切除术治疗肠息肉的效果显著,不仅可以提高治疗效果,还可以降低术后炎症指标和并发症发生率,改善围术期指标,值得借鉴.

Abstract

Abstract: Objective To evaluate the clinical efficacy of endoscopic mucosal resection in treating intestinal polyps. Methods A total of 98 patients with intestinal polyps admitted to the First People’s Hospital of Longnan City from February 2023 to February 2025 were randomly divided into two groups using a random number table method. The observation group (n=49) received endoscopic mucosal resection, while the control group (n=49) underwent high-frequency electroresection. Comparative analyses were conducted on overall effectiveness rates, inflammatory markers, complication incidence, perioperative indicators (surgical duration, polypectomy time, first feeding time, bleeding volume). Results The observation group showed significantly higher overall effectiveness rates than the control group (P<0.05). Postoperative levels of interleukin-6 and c-reactive protein in the observation group were lower than those in the control group, the difference was statistically significant (P<0.05). The incidence of complications in the observation group was also statistically lower than that in the control group, the difference was statistically significant (P<0.05). In terms of perioperative indicators including surgical duration, polypectomy time, first feeding time, and bleeding volume, the observation group demonstrated statistically superior outcomes compared to the control group (P<0.05). Conclusion Endoscopic mucosal resection demonstrates significant efficacy in treating intestinal polyps. This procedure not only enhances therapeutic outcomes but also reduces postoperative inflammatory markers and complication rates, while improving perioperative indicators. These findings provide valuable insights for clinical practice.

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[1]刘健.探索内镜下黏膜切除术在肠息肉治疗中的临床效果[J],2026,01(01):.