高频电切联合氩离子凝固术在治疗胃多发息肉中的应用  

Treatment of gastric polypus with high-frequency electroresection combined with argon

作　　者：黄骏[1] 吴小薇[1] 曾勇[1] 于皆平[2] 

机构地区：[1]武汉科技大学附属汉阳医院消化科,湖北省武汉市430050 [2]武汉大学人民医院消化科,湖北省武汉市430060

出　　处：《世界华人消化杂志》2009年第4期414-416,共3页World Chinese Journal of Digestology

摘　　要：目的:探讨经内镜高频电切联合氩离子凝固术(argon plasma coagulation,APC)治疗胃多发息肉的实用价值.方法:分别用高频电切联合氩离子凝固术(A组)与高频电切联合电凝(B组)治疗胃多发息肉70例患者.分析比较两组患者的基本资料及治疗效果.结果:70例患者共356枚息肉,经高频电切联合氩离子凝固术36例(A组,182枚,其中山田Ⅰ-Ⅱ型151枚,山田Ⅲ-Ⅳ型31枚)均一次性顺利切(灼)除,经内镜高频电切联合电凝34例(B组,174枚,其中山田Ⅰ-Ⅱ型146枚,山田Ⅲ-Ⅳ型28枚)其中25例(145枚)息肉一次性顺利切(灼)除,另9例(29枚)出血需钛夹止血.A组治疗过程中止血效果明显优于B组(χ2=33.02,P<0.01).结论:经内镜高频电切联合氩离子凝固术效确切,操作简便、安全性好、不良反应少,耗时少,优于高频电切联合电凝治疗,有较高的临床推广价值.AIM： To discuss the practical value of high- frequency electricity combined with argon plasma coagulation in treatment of gastric polypus. METHODS： A total of 70 patients with 356 gastric polypi were excised either with highfrequency electroresection combined with argon plasma coagulation or with high-frequency electroresection only. RESULTS： One hundred eighty two polypi in 36 patients （group A）, were excised with highfrequency electroresection combined with argon plasma coagulation without hemostasia, while 174 polypi in 34 patients （group B） were excised with high-frequency electroresection. For group A, all polypi were excised successfully once. For group B, 145 polypi were removed successfully while 19 polypi needed hemostasia. The hemostatic effect was better in group B than in group A （2 = 33.02, P 〈 0.01）. CONCLUSION： High-frequency electroresection combined with argon plasma coagulation is a safe, simple, and promising way to treat gastric polypus.

关 键 词：高频电切 氩离子凝固术 高频电凝 

分 类 号：R656.6[医药卫生—外科学]