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| Application Effect of APC Assisted EMR in Large Gastrointestinal Polyps and Its Influence on Safety Analysis |
| Wang Xia, Li Yuxia, Liu Sanhong |
| Department of Gastroenterology,Nanhai District Fifth People's Hospital,Foshan City,Guangdong Province,528231 |
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Abstract Objective To explore the effect of argon ion coagulation(APC) assisted endoscopic mucosal resection(EMR) in the treatment of large gastrointestinal polyps and analyze its impact on safety. Methods 82 patients with large gastrointestinal polyps in our hospital were selected and divided into two groups(n=41) by random number method.The control group was treated with endoscopic mucosal resection,and the study group was treated with argon ion coagulation.The perioperative indexes,blood lipid levels,therapeutic effects and complications of the two groups were evaluated. Results Operation,hospital stay,intraoperative blood loss,and postoperative 1d and 3dVAS scores in the study group were lower than those in the control group(P<0.05).There was no statistical difference in the levels of TC,TG,TNF-α,LDL-C and HDL-C between the two groups before surgery(P>0.05).Two months after surgery,the levels of TC,TG,TNF-α and LDL-C decreased,while the levels of HDL-C increased,and the rates of TC,TG,TNF-α,LDL-C and complications in the study group were lower than those in the control group.The HDL-C level and total effective rate were higher than those of control group(P<0.05). Conclusion The application of APC assisted EMR in large gastrointestinal polyps has a good effect,which can accelerate the postoperative recovery of patients,reduce the occurrence of complications,and improve the blood lipid level of patients.
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Received: 28 April 2025
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2025, Vol. 45 
