Efficacy of high frequency electrotomy combined with argon plasma coagulation under gastrointestinal endoscopy in treatment of upper gastrointestinal polyps

SHEN Jie; LIU Guozheng; CHEN Jieling; LI Yanzhen

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Efficacy of high frequency electrotomy combined with argon plasma coagulation under gastrointestinal endoscopy in treatment of upper gastrointestinal polyps

更新时间：2023-05-22

- Efficacy of high frequency electrotomy combined with argon plasma coagulation under gastrointestinal endoscopy in treatment of upper gastrointestinal polyps
- null Issue 7, Pages: 572(2019)
- 作者机构：
  
  亳州市华佗中医院脾胃病科,安徽,亳州,236800
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2019，
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SHEN Jie, LIU Guozheng, CHEN Jieling, et al. Efficacy of high frequency electrotomy combined with argon plasma coagulation under gastrointestinal endoscopy in treatment of upper gastrointestinal polyps. [J]. null (7):572(2019)
DOI：

SHEN Jie, LIU Guozheng, CHEN Jieling, et al. Efficacy of high frequency electrotomy combined with argon plasma coagulation under gastrointestinal endoscopy in treatment of upper gastrointestinal polyps. [J]. null (7):572(2019) DOI：

摘要

目的探讨胃肠镜下高频电切术(HFE)联合氩离子电凝术(APC)治疗上消化道息肉的临床应用效果及安全性。方法将2016年1月至2017年1月我院收治的98例上消化道息肉患者按手术方案的不同分为对照组和观察组，对照组46例患者采用胃肠镜下HFE联合MPC治疗，观察组52例患者采用胃肠镜下HFE联合APC治疗。比较2组患者手术时间、术后疼痛NRS评分、一次手术成功率及并发症发生率等。结果蒂息型、扁平型、广基型患者的手术时间、术后疼痛NRS评分比较，观察组少于对照组(P<0.05)；观察组一次手术成功率高于对照组(P<0.05)；观察组术后并发症发生率低于对照组，差异有统计学意义(P<0.05)。结论胃肠镜下HFE联合APC可有效处理有蒂的蒂息型、扁平型上消化道息肉和无蒂的广基型上消化道息肉，具有较高的安全性，是一种治疗上消化道息肉的可行性手术方案。

Abstract

Objective To explore the clinical application effect and safety of gastrointestinal endoscopic high frequency electrotomy(HFE) combined with argon plasma coagulation(APC) in the treatment of upper gastrointestinal polyps.Methods A total of 98 patients with upper gastrointestinal polyps in our hospital from January 2016 to January 2017 were divided into control group and observation group according to surgical menthods

46 cases in the control group were treated with HFE combined with microwave coagulation(MC) under gastrointestinal endoscopy

52 cases in the observation group were treated with HFE combined with APC under gastrointestinal endoscopy.The operation time

NRS score of postoperative pain

success rate of first surgery and incidence of complications between the two groups were compared. Results The operation time and NRS scores of the patients with pedunculated polyp

flat polyp and sessile colorectal polyp in the observation group were less than those in the control group(P<0.05).The success rate of first surgery in the observation group was higher than that in the control group(P<0.05).The incidence of complications in the observation group were lower than that in the control group

the difference was significant(P<0.05). Conclusion HFE combined with APC under gastrointestinal endoscopy is a feasible operation for patients of upper gastrointestinal polyps with high safety.

关键词

内镜高频电切氩离子电凝术上消化道息肉原理剖析

Keywords

endoscopyhigh frequency electrotomyargon plasma coagulationupper gastrointestinal polypsprinciple analysis

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