A analysis of clinical value about endoscopic nipple modified resection in duodenal papillary adenoma resection
10.3969/J.ISSN.1672-8270.2017.07.025
- VernacularTitle:内镜下改良乳头切除法在十二指肠乳头腺瘤切除术中的临床价值分析
- Author:
Weihua ZHU
;
Xiaoxia HU
;
Yun ZOU
- Keywords:
Duodenal papilloma;
Endoscopic nipple resection;
Improvement;
Duodenoscope
- From:
China Medical Equipment
2017;14(7):99-102
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To analyze the clinical value of modified endoscopic nipple resection in duodenal papillary adenoma resection Methods: 40 patients with duodenal papillary adenoma were randomly divided into observation group (20 cases) and control group (20 cases)according to the random number table. The patients of control group were treated by conventional resection of papillary adenoma, while the patients of observation group were treated by modified endoscopic nipple resection. The resection rate and the implantation of stent between the two groups were compared. Besides, the occurrence rate of complication and postoperative follow-up between the two groups also were compared. Results: The complete resection rate of observation group (95.00%) was not significant difference with that of control group (90.00%), while en bloc resection rate of observation group (85.00%) significant higher than that of control group (55.00%) (x2=4.28, P<0.05).There was not statistically significant difference between the two groups about the implantation of stent (x2=0.36, P>0.05). In postoperative three months, the difference of recently complication between the two groups was significant (x2=6.14, P<0.05). While the difference of long-term complication between the two groups was no significant (x2=0.36, P>0.05) in more than postoperative three months. After the follow-up of one year, the recurrence rate of observation group (10.34%) was no significant with that of control group (14.29%)(x2=0.17, P>0.05). Conclusion: The modified endoscopic nipple resection can enhance the en bloc resection rate, and reduce the incidence of complications and the recurrence rate. Besides, it has many dominances including higher feasibility in clinical practices. Therefore, its promotion is worthy.
