氩离子凝固术治疗消化道息肉的应用价值  

Practical value of curing digestive tract polyps with the agron plasma coagulation.

作　　者：程艳秋[1] 杨昌霞[1] 张春彦[1] 

机构地区：[1]哈尔滨医科大学附属第二医院消化内镜诊疗中心,黑龙江哈尔滨150081

出　　处：《中国实用内科杂志》2007年第3期187-189,共3页Chinese Journal of Practical Internal Medicine

摘　　要：目的探讨氩离子凝固术的临床应用价值，评估其安全性及疗效。方法对2004年1月至2006年1月在哈尔滨医科大学附属第二医院消化内镜诊疗中心就诊的70例消化道．g-肉患者，采用德国ERBE公司生产的APC300EA型内镜下专用氩气刀，对广基扁平息肉进行经内镜下氩离子凝固术（APC）根除治疗。其中，直径在0.2—0．8cm广基、扁平息肉仅行APC切除治疗，直径在1．0—2．0cm的细蒂或粗蒂及宽基底大息肉行高频电切局部创面渗血，再行APC止血治疗。结果本组病例全部临床治愈。其中，一次成功切除50余枚息肉2例，20余枚2例，10余枚3例，仅用圈套器一次成功切除结肠多发有蒂大息肉30余枚2例。术后仅有2例患者出现无症状的局部黏膜下气泡，1周后复查无其他并发症发生。结论APC结合高频电切在各种消化道息肉病变治疗中安全性好，可有效止血，副反应少，操作简便，尤其是在扁平、广基息肉的治疗中可作为首选方法。Objective To investigate the clinical practical value of APC and curative effect. Methods With 70 cases of digestive tract polyps in the Second Hospital of Harbin Medical University from Feb. 2004 to Feb. 2006, radically cure the wide outsole and applanate polyps with APC, using the type of APC 300EA endoscope agron scalpel （manufactured by German ERBE company）. The patients who had the wide outsole and applanate polyps whose diameter was between O. ：2 - 0. 8 cm will only be treated by APC. The patients who had the polyps of thin pedicel,thick pedicel as well as wide and big outsole whose diameter was between 1.0 - 2.0 cm were excised by high-frequency electrocision, and after that these patients were treated by APC to hemostasis. Results All of the patients were healed. The excision was successful in ：2 cases that had 50 polyps,2 cases that had more than 20 polyps and 3 cases that had more than 10 polyps. All cases were excised in one time. And there were 2 patients having been excised more than 30 colon multiple big polyps only by snare. There were only 2 patients having symptomless air bubble under the local mucosa, but without complication in the inspection after one week. Conclusion During the treatment of the all kinds of digestive tract diseases, the method of APC combined with the high-frequency electrocision has the merit of good safety,efficient hemostasis, rare side complications and convenient operation. And it can be the chief method specially for the applanate and wide outsole polyps.

关 键 词：氩离子凝固术 消化道息肉 止血 

分 类 号：R5[医药卫生—内科学]