氩离子凝固术治疗胃黏膜脱垂症的临床研究  

Clinical Study of Endoscopic Argon Plasma Coagulation in Treatment of Prolapse of Gastric Mucosa

作　　者：宋文先[1] 王海军[1] 陈涛[1] 廖智慧[1] 段军[1] 

机构地区：[1]中国人民解放军第四七七医院消化科,襄樊441003

出　　处：《临床消化病杂志》2011年第4期205-207,共3页Chinese Journal of Clinical Gastroenterology

摘　　要：目的探讨应用氩离子凝固术(APC)治疗胃黏膜脱垂症的疗效及安全性,并与微波治疗胃黏膜脱垂症的效果进行比较研究。方法选择2008年12月至2010年10月经胃镜检查确诊的140例胃黏膜脱垂症患者,按治疗方式随机分为两组:APC组69例,微波治疗组71例。观察比较两组患者的有效率、并发症、治疗疗程及费用。结果 (1)APC组和微波治疗组治疗1个月后症状缓解显效率分别为89.8%、83.1%,差异无显著性(P>0.05)。(2)1个月后胃镜复查病变消失率APC组和微波治疗组分别为93.8%、84.5%,差异有显著性(P<0.05)。(3)APC组治疗期间有7例出现轻度的并发症,给予对症处理后消失;微波治疗组有5例出现浅表溃疡,4例出现上消化道出血,对症治疗后痊愈。(4)两组患者住院时间比较无统计学差异(P>0.05),微波治疗组住院费用高于APC组(P<0.05)。结论氩离子凝固术治疗胃黏膜脱垂症效果明显,副作用小,值得临床推广应用。Objective To explore the effects and safety of endoscopic argon plasma coagulation and miscrowave therapy on prolapse of gastric mucosa.Methods From December 2008 to Octocber 2010,a total of 140 patients with prolapse of gastric mucosa were randomly divided into two groups,one group treated with APC（n=69）,another with micrewave therapy,then contrasted the therapy effect,related complications,length and costs of hospitalizationg of the two methods.Results Total effect：the APC group was 89.9%,the microwave group was 83.1%（P0.05）.The pathologic change＇s disappearance rate through endoscope：the APC group was 93.8%,the microwave group was 84.5%（P0.05）.Conplication：7patients with the microwave group had hemorrhage of upper digestive tract,the APC group has no one.The length of hospitalization was similar in two groups（P0.05）,and the cost of hospitalzation in the microwave group was significantly higher than that of the APC group（P0.05）.Conclusion APC showed higher efficacy and safety in the treatment on prolapse of gastric mucosa,which is worthy of being spread in clinical application.

关 键 词：胃黏膜脱垂症 氩离子凝固术 微波治疗 内镜治疗 

分 类 号：R573[医药卫生—消化系统]