胃腸息肉內鏡下治療效果及其并發癥的探討

胡學軍 徐威 邱全興 湯瑜 鐘曉鋒

[摘要] 目的 探究內鏡下治療胃腸息肉的臨床療效和并發癥發生情況，為今后的臨床診治提供科學、可靠的理論依據。 方法 方便選擇2017年1—12月間在該院實施內鏡下治療的60例胃腸息肉住院患者作為此次研究對象，對上述患者的臨床資料予以回顧性分析，并進行為期一年的隨訪，觀察記錄所有患者的臨床治療效果和并發癥發生情況。 結果 該實驗60例胃腸息肉患者中，一次性切除的有57例（95.00%），分次切除的有3例（5.00%）;隨訪期間，有4例患者息肉復發，其復發率為6.67%;胃息肉患者未見并發癥，而大腸息肉患者出現并發癥的共有5例，均為出血，其并發癥發生率為8.33%;針對出血患者臨床給予針對性的處理，其中1例患者通過熱活檢鉗電凝的方式止血;1例患者通過噴灑止血藥物的方式止血;1例患者由于出血量較大，采用熱活檢鉗電凝止血的同時，靜脈輸血，并使用止血鉗止血。 結論 針對胃腸息肉患者，臨床實行內鏡下治療效果顯著，能夠有效降低息肉患者的復發率和并發癥發生率，安全性較高，可作為臨床理想治療手段予以推廣應用。

[關鍵詞] 胃腸息肉;內鏡下治療;治療效果;并發癥

[中圖分類號] R57? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-0742（2019）11（c）-0042-04

[Abstract] Objective To explore the clinical efficacy and complications of endoscopic treatment of gastrointestinal polyps， and to provide a scientific and reliable theoretical basis for future clinical diagnosis and treatment. Methods 60 patients with gastrointestinal polyps who were convenient selection treated by endoscopy in our hospital from January to December 2017 were selected as the study subjects. The clinical data were retrospectively analyzed and followed up for one year. The clinical efficacy and complications of all patients were observed and recorded. Results Among the 60 patients with gastrointestinal polyps， 57 cases（95.00%） were resected at one time and 3 cases（5.00%） were resected at different times. During the follow-up period， 4 patients had polyps recurrence， the recurrence rate was 6.67%. There were no complications in gastrointestinal polyps， while 5 patients had complications， the incidence of complications was 8.33%. For hemorrhagic patients， specific treatment was given. One patient stopped bleeding by electrocoagulation with thermobiopsy forceps; one patient stopped bleeding by spraying hemostatic drugs; one patient stopped bleeding by electrocoagulation with thermobiopsy forceps because of the large amount of bleeding. Meanwhile， venous blood transfusion and hemostasis forceps were used to stop bleeding. Conclusion For patients with gastrointestinal polyps， endoscopic treatment is effective， can effectively reduce the recurrence rate and the incidence of complications in patients with polyps， high safety， can be used as an ideal clinical treatment.

[Key words] Gastrointestinal polyps; Endoscopic treatment; Therapeutic effect; Complications

近年來，伴隨社會經濟的不斷發展，國民生活水平得到明顯提升，胃腸息肉的發病率也呈現逐年上升趨勢。胃腸息肉主要是指胃腸粘膜隆起局限性增生凸起腹腔內部，繼而所形成的過度性生長組織，在組織結構、生物學特征等方面具有一定差異[1]。……