【摘要】 目的 探究内镜下切除术对结肠息肉治疗方法及效果。方法 方便择取2019年1月—2020年9月江苏省仪征市人民医院行结肠息肉治疗的101例患者为研究对象。依据治疗方式不同分为两组，对照组（50例）予保守治疗，观察组（51例）则予以内镜下切除手术。评估比对两组临床效果以及观察组各项治疗指标、治疗后并发症情况。结果 观察组临床有效率（96.08%）高于对照组（82.00%），差异有统计学意义（χ2=5.156,P=0.023）。观察组手术时间为（28.54±5.62）min、术后卧床时间为（2.16±0.75）d、术中出血量为（15.15±4.32）mL、术后住院时间为（5.78±1.31）d；且观察组总住院时间短于对照组（12.85±2.62）d，差异有统计学意义（t=17.203,P<0.001）。观察组不良反应总发生率（3.95%）相较于对照组（6.00%），差异无统计学意义（χ2=0.001,P=0.980）。结论 采用内镜下切除术治疗结肠息肉治疗效果理想，相较于保守治疗，具有治疗周期更短的优势，且不会增加治疗不良反应，更有利于患者的康复。更多还原

【Abstract】 Objective To explore the treatment method and effect of endoscopic resection for colon polyp. Methods One hundred and one patients who received colon polyp treatment in Yizheng People’s Hospital from January 2019 to September 2020 were convenient selected as research objects. According to the difference treatment methods, they were divided into two groups. The control group(50 cases) received conservative treatment, and the observation group(51 cases) received endoscopic resection. The clinical effects of the two groups were evaluated and compared, as well as the therapeutic indicators of the observation group and postoperative complications. Results The clinical effective rate of the observation group(96.08%) was higher than that of the control group(82.00%), and the difference was statistically significant(χ2=5.156, P=0.023). In the observation group, the operation time was(28.54±5.62) min, postoperative bed time was(2.16±0.75) d, intraoperative blood loss was(15.15±4.32) mL, and postoperative hospital stay was(5.78±1.31) d. The total hospital stay of the observation group was shorter than that of the control group(12.85±2.62)d,and the difference was statistically significant(t=17.203, P<0.001). The total incidence of adverse reactions in the observation group(3.92%) was not statistically significant difference from that in the control group(6.00%)(χ2=0.001, P=0.980). Conclusion The use of endoscopic resection for colon polyps has an ideal therapeutic effect, with the advantage of shorter treatment cycles compared to conservative treatment, and does not increase adverse reactions, which is more conducive to patient recovery.更多还原