内镜下氩离子凝固术治疗消化道息肉的体会  

Clinical values of endoscopic argon plasma coagulation treatment of gastrointestinal polyps

作　　者：高原[1] 赵逵[1] 吴会超[1] 龙小英[1] 王海波[1] 熊弦[1] 

机构地区：[1]遵义医学院附属医院消化内科,遵义563003

出　　处：《重庆医科大学学报》2009年第9期1283-1285,共3页Journal of Chongqing Medical University

摘　　要：目的:探讨内镜下氩离子凝固术(Argon plasma coagulation,APC)治疗消化道息肉的价值。方法:采用德国ERBE公司生产的APC300型内镜专用氩气刀,对经病理学证实的消化道息肉进行氩离子凝固术。结果:23例患者共78枚息肉,其中59枚为扁平、广基息肉,经内镜氩气刀治疗,另19枚有蒂息肉在内镜圈套治疗时采用内镜下氩气刀配合治疗,全部治愈。每枚息肉根据其部位、大小决定氩离子凝固次数,一般经1～7次凝固息肉皆变平,每次内镜最多可处理10枚息肉,息肉超过10枚者宜分次进行治疗。结论:内镜下氩气刀对消化道广基、扁平息肉或息肉样隆起可作为首选的治疗方法,其疗效佳,安全性好,副作用少,有较高的临床价值。Objective：To evaluate the values of the endoscopic argon plasma coagulation （APC） in the treatment of gastrointestinal polyps. Methods：The gastrointestinal polyps confirmed by endoscopy and pathology were treated with argon plasma coagulation generated by ERBE APC 300 made in German ERBE Company. Results：A total of 78 polyps （59 flat and thin sessile polyps and 19 pedunculated polyps） in 23 patients were all cured with APC. 59 flat, thin and sessile polyps were only treated with APC, whereas 19 pedunculated polyps were treated with snared polypectomy and APC ablation of residual tissue. Time of coagulation for every polyp was determined by its size and location. Polyps became flat and thin after（1～7）times of coagulation. As many as 10 polyps could be treated at one time, but for patients with more than 10 polyps, several times of treatment were needed. Conclusion：Treatment of gastrointestinal polyps by APC is an effective and safety method with low side effects. It can be the first choice of methods for the treatment of flat and thin sessile gastrointestinal polyps or polypoid projection.

关 键 词：内镜 氩离子凝固术 息肉 

分 类 号：R574.62[医药卫生—消化系统] R573.9[医药卫生—内科学]