胃镜下氩离子凝固术治疗Barrett食管的临床研究  

Clinical study of argon plasma coagulation treatment of Barrett esophagus under endoscopy

作　　者：杨琦[1] 王景杰[1] 杨晔[2] 闻勤生[1] 秦明[1] 赵宝民[1] 王旭霞[1] 赵曙光[1] 刘震雄[1] 张少玲[1] 黄裕新[1] 

机构地区：[1]第四军医大学唐都医院消化科,陕西西安710038 [2]第四军医大学唐都医院胸外科,陕西西安710038

出　　处：《胃肠病学和肝病学杂志》2009年第4期355-356,共2页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的探讨内镜下氩离子凝固术治疗Barrett食管的临床疗效。方法选择我院2006年3月-2007年4月经内镜检查及病理组织学检查诊断的Barrett食管患者87例，在内镜下行氩离子凝固术治疗，所有病例治疗后3个月及6个月时复查内镜以及病理组织学检查。结果87例Barrett食管患者3个月复查时78例（89.7％）胃镜下未见复发，9例（10.3％）由于BE黏膜长度较长，在原来部位有散在Barrett食管上皮残留，行第二次氩离子凝固术治疗，6个月复查胃镜及病理组织学检查，全部患者均未见Barrett黏膜复发。结论氩离子凝固术是经内镜非接触性治疗Barrett食管的新方法，操作方便，短期疗效较好。Objective To evaluate clinical efficacy on argon plasma coagulation （APC） treatment of Barrett esophagus （BE） under endoscopy. Methods Eighty-seven BE patients were diagnosed by endoscopy and pathology and treated by APC. Re-examined by endoscopy and pathology in the third month and sixth month after APC treatment. Results Complete squamous re-epithelialization were observed in 78 patients （89.7%） after 3 months, while remnant islands of columnar epithelium dispersedly in original lesion were observed in 9 patients （10.3%） and then retreated with APC. Complete squamous re-epithelialization were observed in all patients after six month. Conclusion APC is a new therapeutic approach for BE without contact. It＇ s more efficient and more convinent.

关 键 词：BARRETT食管 氩离子凝固术 癌前病变 治疗 

分 类 号：R571[医药卫生—消化系统]