内镜下高频电凝治疗胃窦粗大皱襞162例  

High frequency electric coagulation under endoscope for 162 cases of hypertrophic gastric folds in sinus ventriculi

作　　者：程秀莲[1] 王丙信[1] 任清华[1] 郝波[1] 宋潇逸[1] 伏爱国[1] 杨云[1] 

机构地区：[1]中国人民解放军251医院消化科,河北省张家口市075000

出　　处：《世界华人消化杂志》2007年第22期2458-2460,共3页World Chinese Journal of Digestology

摘　　要：目的:探讨内镜下高频电凝治疗胃窦部粗大皱襞的疗效.方法:用电凝止血器或热活检钳.烧灼皱襞.结果:患者经内镜下1-3次高频电凝治疗,临床表现治愈139例(85.80%),好转14例(8.64%),无效9例(5.48%).内镜下复查粗大皱襞消失119例(73.46%),好转23例(14.20%),无效20例(12-35%);内镜下炎症改善情况,治愈0例;好转109例(67.28%),无效53例(32.72%);慢性活动性胃炎中性粒细胞消失57例(35.63%),1级52例(32.10%),2级32例(19.75%),3级21例(12.96%).结论:通过对胃窦部粗大皱襞的内镜下治疗,可以使粗大皱襞完全消失,临床症状改善,炎症明显改善.AIM： To explore the therapeutic effects of highfrequency electric coagulation under endoscope in patients with hypertrophic gastric folds （HGFs） in sinus ventriculi. METHODS： HGFs were cauterized by electric coagulation hemostat or biopsy forceps. RESULTS： In 162 patients treated one to three times with high-frequency electric coagulation, 139 （85.80%） showed clinical cure, 14 （8.64%） improvement, and 9 （5.48%） lack of efficacy; 119 （73.46%） showed HGF elimination, 23 （14.20%） HGF reduction, and 20 （12.35%） no improvement; 109 （67.28%） showed improvement of inflammation and 53 （32.72%） no improvement; 57 （35.63%） showed disappearance of heterophil granulocytes, 52 （32.10%） were ranked as first stage, 32 （19.75%） second stage, and 21 （12.96%） third stage. CONCLUSION： HGFs may completely disappear, and clinical symptoms and inflammation can be significantly improved by high-frequency electric coagulation under endoscopy.

关 键 词：粗大皱襞 胃镜 高频电凝 慢性活动性胃炎 

分 类 号：R573.9[医药卫生—消化系统]