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目的探究胃镜下透明帽辅助处理十二指肠球部息肉作用的临床应用价值。方法选取2014年4月-2016年4月在深圳市宝安区松岗人民医院,需行十二指肠球部息肉电切除者60例为研究对象。随机分为对照组和观察组,每组各30例。对照组内镜下不戴透明帽直接电切除息肉;观察组给予戴透明帽辅助电切除息肉。均由同一内镜医师进行操作检查。比较两组病变暴露清晰度、定位难度、切除时间、并发症。结果观察组暴露清晰度为96.67%(30/29),定位精准度为93.33%(30/28)。对照组暴露清晰度为73.33%(30/22),定位精准度为70.00%(30/21),两组比较差异有统计学意义(P<0.05)。观察组切除息肉平均时间为(19.73±6.06)min,对照组平均切除时间为(27.61±5.98)min,两组比较差异有统计学意义(P<0.05)。观察组患者少量出血为6.67%(30/2),均无大量出血、擦伤、穿孔及损伤临近器官等并发症。对照组少量出血为13.33%(30/4),擦伤为13.33%(30/4),无大量出血、穿孔及损伤临近器官等并发症。两组发生少量出血及擦伤并发症差异有统计学意义(P<0.05)。结论胃镜透明帽辅助处理十二指肠球部息肉比不使用透明帽处理暴露清晰度及定位精准度更高、切除时间更短以及伴有较的少并发症,具有临床应用价值。
Objective To investigate the clinical value of transparent caps in the treatment of polyp in the duodenal bulb under endoscopy. Methods From April 2014 to April 2016, 60 patients who underwent resection of polyp resection of duodenal bulb in Songgang People’s Hospital of Bao’an District of Shenzhen City were selected as the research object. Randomly divided into control group and observation group, 30 cases in each group. The control group did not wear a transparent cap directly under the endoscope to remove the polyp; the observation group received the transparent cap to assist in the removal of the polyp. By the same endoscopic operation of the examination. Compare the two groups of lesion exposure clarity, positioning difficulty, excision time, complications. Results The clarity of the observation group was 96.67% (30/29), and the positioning accuracy was 93.33% (30/28). The control group had a clearness of 73.33% (30/22) and a positioning accuracy of 70.00% (30/21). The difference between the two groups was statistically significant (P <0.05). The mean time of resection of polyp in observation group was (19.73 ± 6.06) min and that in control group was (27.61 ± 5.98) min, the difference was statistically significant (P <0.05). In the observation group, a small amount of bleeding was 6.67% (30/2). There was no significant bleeding, abrasion, perforation and injury of adjacent organs and other complications. In the control group, a small amount of hemorrhage was 13.33% (30/4) and bruising was 13.33% (30/4). There was no significant bleeding, perforation and injury of adjacent organs. There was a significant difference between the two groups in the incidence of minor bleeding and bruising (P <0.05). Conclusion Transparent cap of gastroscope assisted the treatment of duodenal polyps than without the use of transparent cap treatment of exposure clarity and positioning accuracy, shorter resection time and associated with fewer complications, with clinical value.