竺添雨　孔弘伟　殷清华　蒋桂芳

【摘要】 目的：探討无痛电子肠镜下内镜黏膜切除术（endoscopic mucosal resection，EMR）联合金属钛夹治疗肠息肉的效果。方法：选取笔者所在医院收治的80例肠息肉患者作为研究对象，按照手术方式分为对照组和观察组，每组40例。对照组在普通肠镜下行EMR术联合金属钛夹治疗，观察组在无痛电子肠镜下行EMR术联合金属钛夹治疗。比较两组手术时间、术中出血量、术后并发症及满意度。结果：观察组手术时间明显短于对照组，术中出血量明显少于对照组，差异均有统计学意义（P<0.05）;观察组术后并发症发生率显著低于对照组，差异有统计学意义（P<0.05）;观察组满意度高于对照组，差异有统计学意义（P<0.05）。结论：无痛电子肠镜下EMR术联合金属钛夹治疗肠息肉具有手术时间短、出血少、并发症少、患者满意度高的优势，临床效果显著，值得推广。

【关键词】 肠息肉 无痛电子肠镜 内镜黏膜切除 金属钛夹 疗效

doi：10.14033/j.cnki.cfmr.2020.16.059 文献标识码 B 文章编号 1674-6805（2020）16-0-03

Efficacy of Painless Electronic Colonoscopy with Endoscopic Mucosal Resection Combined with Metal Titanium Clips for Intestinal Polyps/ZHU Tianyu， KONG Hongwei， YIN Qinghua， JIANG Guifang. //Chinese and Foreign Medical Research， 2020， 18（16）： -146

[Abstract] Objective： To investigate the effect of painless electronic colonoscopy with endoscopic mucosal resection （EMR） combined with metal titanium clips in the treatment of intestinal polyps. Method： A total of 80 cases of intestinal polyps treated in our hospital were selected as the research object. The patients were divided into the control group and the observation group according to different surgical methods， 40 cases in each group. The control group was given ordinary enteroscopy with EMR combined with metal titanium clips. The observation group was given painless electronic enteroscopy with EMR combined with metal titanium clips. The operation time， intraoperative blood loss， postoperative complications and satisfaction were compared between the two groups. Result： The operation time of the observation group was significantly shorter than that of the control group， and the intraoperative blood loss was significantly less than that of the control group， and the differences were statistically significant （P<0.05）. The incidence of postoperative complications in the observation group was significantly lower than that of the control group， and the difference was statistically significant （P<0.05）. The satisfaction in the observation group was higher than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion： Painless electronic colonoscopy with EMR combined with metal titanium clips for the treatment of intestinal polyps has the advantages of short operation time， less bleeding， fewer complications and high patients satisfaction. The clinical effect is significant and worthy of promotion.

[Key words] Intestinal polyps Painless electronic colonoscopy Endoscopic mucosal resection Metal titanium clip Efficacy

随着麻醉技术的发展和提升，普通肠镜下治疗已不能满足临床和患者的需求。采用普通肠镜治疗，可使患者产生恐惧及紧张等情绪，造成不必要的痛苦和不适，导致配合度不佳，使手术时间延长及手术难度增加，特别是对于位置比较特殊的息肉，操作难度更大。研究表明，无痛肠镜下EMR术联合金属钛夹治疗安全性更确切，可减轻患者痛苦，减少肠管牵拉所致的反射性痉挛，降低肠道出血、穿孔等严重并发症风险，从而保证手术顺利进行，并显著提高患者满意度[10-12]。研究结果示，观察组手术时间、术中出血量、并发症发生率、满意度均显著优于对照组（P<0.05），提示无痛电子肠镜下EMR术联合金属钛夹治疗肠息肉效果优于普通电子肠镜下EMR术联合金属钛夹。

综上所述，无痛电子肠镜下EMR术联合金属钛夹治疗肠息肉的临床效果显著，安全可靠，值得在临床中推广。

参考文献

[1]房玉海.结肠息肉发病相关危……