内镜下氩离子凝固术与射频、高频电切术治疗胃肠道息肉疗效比较  

Comparison of the Treatment Effect of Endoscopic Argon Plasma Coagulation Radio-Frequency and High-Frequency Electrocogulation in Patients with Gastrointestinal Polyps

作　　者：张旭东[1] 吴天清[1] 张春玲[1] 周宇[1] 罗良德[1] 杨建[1] 申红[1] 郑桂香[1] 

机构地区：[1]四川省三台县人民医院,三台621100

出　　处：《临床消化病杂志》2011年第3期172-174,共3页Chinese Journal of Clinical Gastroenterology

摘　　要：目的探讨内镜下氩离子凝固术、射频及高频电切术等3种治疗方式治疗胃肠道息肉的临床疗效及安全性。方法对2007年3月至2010年2月我科收治的143例消化道息肉患者,根据治疗方法分为氩离子组(n=57)、射频组(n=45)和高频组(n=41)。所有检出病例术前行病理活检,确定病理类型后治疗,观察治疗的结果及并发症,并于治疗后1月复查随访疗效。结果氩离子组、射频组和高频组一次性治愈率分别为94.0%、90.6%、92.4%。氩离子组、射频组术中术后均无穿孔者,高频组1例穿孔。结论胃肠道息肉治疗前均应先行活检确定其病理形态,病理报告为非恶性肿瘤后,在内镜直视下摘除,根据息肉大小可选用不同的方法且疗效各不相同。氩离子凝固术、射频及高频电切术的一次性治愈率均较高,但氩离子凝固术并发症少于射频消融及高频电切术。Objective The purpose of this study was to compare the safety and effect on removing gastrointestinal polyps endoscopic by argon plasma coagulation ,radio-frequency and high-frequency electrocogulation. Method 143 patients with gastrointestinal polyps were divided into three groups. The pathological type of polyps were determined by the preoperative biopsy and the treatment efficacy was followed one month after the operation. Results One-time cure rates of argon plasma coagulation,rado-frequency and high-frequency electrocogulation were 94.0% ,90.6% ,92.4% respectively. There was no postoperative perforation in argon plasma coagulation and radio-frequency, 1 case perforated in high-frequency treatment group. Conclusion Pathology determination should be made before the treatment of gstrointestinal polyps. Different treatment should be chosen according to polyp size. The one-time cure rates with argon plasma coagulation operation, radio-frequency and high-frequency electrosurgical were high, but the complications of argon plasma coagulation was lower than radio-frequency and high-fiequency electrologhlation.

关 键 词：胃肠道息肉 氩离子凝固术 射频 高频电切术 

分 类 号：R735[医药卫生—肿瘤]