腹腔镜联合结肠镜微创技术在结直肠息肉治疗中应用价值

目的探讨腹腔镜联合结肠镜微创技术在结直肠息肉治疗中的临床应用价值。方法选取上海市宝山区仁和医院自2014年1月至2016年1月收治的结直肠息肉患者86例,根据随机数表法分为A组和B组,每组各43例患者。A组采用结肠镜切除术进行治疗,B组采用腹腔镜联合结肠镜进行治疗。记录两组患者的总有效率、术中指标、术后恢复情况,并严密观察患者并发症的发生情况。术后6个月随访,观察患者的息肉残留率及复发率。结果 B组患者的总有效率为88.4%(38/43),明显高于A组的60.5%(26/43),两组间比较,差异有统计学意义(P<0.01);B组患者术中出血量及手术时间均显著低于A组,且差异均有统计学意义(P<0.01);与A组相比,B组患者术后恢复情况明显改善(P<0.01);A组患者的并发症发生率、息肉残留率及复发率均显著高于B组,且差异均有统计学意义(P<0.05)。结论腹腔镜联合结肠镜微创技术可以有效地治疗结直肠息肉,改善患者的围术期及术后相关指标,并降低患者并发症的发生率、息肉残留率及复发率,为临床治疗结直肠息肉提供了新的思路。

Application value of laparoscopy combined with colonoscopy in treatment of colorectal polyps and polyp canceration

Objective To investigate the clinical application value of laparoscopy combined with colonoscopy in treatment of colorectal polyps and polyp canceration.Methods A retrospective study was performed on 86 cases of patients with colorectal polyps who were admitted from January 2014 to January 2016.Patients were randomly divided into Group A and Group B,with 43 case in each group.Patients in Group A underwent colonoscopic surgery,and the others in Group B underwent laparoscopy combined with colonoscopy.The total effective rate,intra-operative,postoperative recovery,and the incidence rate of complications between the two groups were recorded.In addition,the residual rate and recurrence rate of postoperative observation of polyps in patients during 6 months of follow-up were analyzed.Results The total effective rate of Group B was 88.4%(38/43),which was significantly higher than that of Group A(60.5%,26/43),P<0.01.The intra-operative blood loss and operation time of Group B were significantly lower than those of Group A(P<0.01).Compared with Group A,the postoperative recovery of Group B improved significantly(P<0.01);the complications, polyp residue and recurrence rate of Group A were significantly higher than those of Group B(all P<0.05).Conclusion Laparoscopic combines with colonoscopy minimally invasive technique can be effective in the treatment of colorectal polyps,which improves the perioperative and postoperative related indicators.At the same time,it reduces the incidence ofcomplications,recurrence rate and residual in patients with polyp,which provides a new way for the clinical treatment of colorectal polyps,and it is worth of clinical promotion.