内镜下氩离子凝固术治疗胃息肉及疣状胃炎的临床研究  

Role of Argon Plasma Coagulation in Treatment of Gastric Polyp and Verrucosa Gastritis

作　　者：诸琦[1] 贺益萍[1] 吴云林[1] 冯莉[2] 

机构地区：[1]上海交通大学医学院附属瑞金医院消化内科,200025 [2]上海瑞金医院集团闵行医院消化内科

出　　处：《中国消化内镜》2007年第3期16-19,共4页Digestive Disease and Endoscopy

摘　　要：目的探讨内镜下氩离子凝固术(APC)在治疗胃息肉及疣状胃炎中的临床疗效及安全性。方法内镜诊断胃息肉患者30例,成熟型疣状胃炎患者50例纳入治疗。应用ERBE公司的APC300型氩离子凝固器,设定电凝功率为60W,氩气流量为2.4L/min。观察治疗的临床结果及并发症,并于治疗后1月胃镜复查随访疗效。结果APC治疗共计52枚胃息肉;其中直径>1cm者14枚予圈套器联合APC治疗;直径<1cm者38枚仅予APC治疗。治疗1月后胃镜复查,27例(90.0%)原病灶处局部黏膜愈合完整,无糜烂及溃疡,无明显疤痕形成;2例(6.7%)原病灶处局部黏膜充血、糜烂,未见溃疡;1例(3.3%)病灶仍有残留,再次行APC治疗。应用APC治疗成熟型疣状胃炎病灶共计271枚。1月后随访,44例(88.0%)临床症状明显改善,经胃镜复查发现,47(94.0%)例患者病灶基本消除,原病灶处均覆有新生的黏膜上皮及肉芽组织,无明显疤痕形成。3例(6.0%)残留少许疣状灶及糜烂,予再次APC治疗。APC治疗时及治疗后部分患者出现治疗部位疼痛、腹胀等情况,均于术后当天至2天后消失,无其它严重并发症发生。结论APC是一种操作简便、治疗作用肯定的内镜下治疗胃息肉及疣状胃炎的方法。Objective:The aim of this study was to investigate the efficacy and safety of argon plasma coagulation ( APC ) in the treatment of gastric polyps and verrucosa gastritis. Methods:30 patients diagnosed with gastric polyps and 50 patients diagnosed with verrucosa gastritis ( VG ) were enrolled. Endoscopic APC was administrated by using APC 300 ( ERBE Co. Germany ) with an argon gas flow of 2.4 L/min at a power setting of 60 W. All the patients were follow-up and the therapeutic efficacy and the complications ...

关 键 词：氩离子凝固术 息肉 疣状胃炎 

分 类 号：R735.2[医药卫生—肿瘤]