The Application Of The Endoscopic Argon Plasma Coagulation Technique Combined With Titanium Clip In The Colon Polyps Electricity Cut Method

Objective:Explore the application value of the argon plasma coagulation technique combined metal titanium clips in colon polyps electric cutting treatment and properly evaluate the advantages and effect of the treatment.Methods:From January 2015 to December 2015,415 patients who received endoscopic treatment of colon polyps,randomly divided into A,B,C three treatment group.For group A,147 patients(91 men and 56 women ranged 31–80 years;85 patients were under the age of 60 and 62 patients were above the age of 60)were applied with high frequency electric coagulation electric cutting combined argon plasma coagulation technique;For group B,133 patients(79 men and 54 women ranged 35–84 years;76 patients were under the age of 60 and 57 patients were above the age of 60)were applied with high frequency electric coagulation electric cutting combined titanium clip technique;For group C,135 patients(83 men and 52 women ranged 33–79 years;72 patients were under the age of 60 and 63 patients were above the age of 60)were applied with high frequency electric coagulation electric cutting combined the argon plasma coagulation and the titanium clip technique.Analyze the total 415 patients by SPSS chi-square test to calculate respectively the rate of complication(including abdominal distension,abdominal pain,perforation and bleeding)of the three methods after the treatment.We observe the cure rate and the recurrence rate in the follow-up of three groups,and then evaluate the role and effect of argon plasma coagulation combined titanium clip.Results:The postoperative perforation rate was 0 in all 3 groups of patients,and the incidence of abdominal distention and abdominal pain in group A was approximately 21.8%.The incidence of abdominal distention and abdominal pain in group B was about 15.8%.In group C,the incidence of abdominal distention and abdominal pain was 12.6%.We use chi-square test to compare three sets of values.The difference was not statistically significant(chi-square = 4.388,p = 0.111,p > 0.05).The incidence of bleeding rate in group A was about 8.16%.In group B,the incidence of bleeding rate was 3.01%.In group C,the incidence of bleeding rate was 2.22%.We use chi-square test to compare three sets of values.The difference was statistically significant(chi-square = 6.791,p = 0.034,p < 0.05).After chi-square test statistical comparison of the bleeding complications of group A and C,the difference was statistically significant(chi-square = 4.932,p = 0.026,p < 0.05).Patients with bleeding in the above three groups were treated with an emergency colonoscopy of argon plasma coagulation combined metal titanium clips and had no further bleeding after the emergency treatment.After six months of follow-up,4 of 32 patients in group A relapsed(recurrence rate was 12.50%);8 of 26 patients in group B relapsed(recurrence rate was 30.77%);4 of 45 patients in group B relapsed(recurrence rate was 8.89%)The total cure rate was 97.78%.The difference was statistically significant(chi-square = 6.338,p = 0.042,p < 0.05).Conclusions:The possibility of intraoperative and postoperative complications is low in the treatment of colon polyps by using the argon plasma coagulation technique combined titanium clip.The one-time resection rate and the total cure rate are high,while the recurrence rate is low.In the large intestine polypus treatment,argon plasma coagulation technique combined titanium clamp,which featured with clinical characteristics of safe,effective,can effectively prevent the happening of the intraoperative and postoperative complications and not easy to relapse.