内镜下氩离子凝固术在胃肠道息肉治疗中的应用  

Clinical Application of Argon Plasma Coagulation for Gastrointestinal Polyps

作　　者：沈静言 张曙[1] 朱玉婷[1] 唐美娟[1] 沈惠芳 

机构地区：[1]上海市第六人民医院金山分院消化内科,上海201500

出　　处：《现代生物医学进展》2012年第29期5746-5748,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨内镜下氩离子凝固术(APC)治疗胃肠道息肉的临床疗效。方法:将我院收治的胃肠道息肉的患者136例(248枚),随机分成APC组(68例132枚)和高频电凝切除组(68例116枚)。术后随访2个月,观察两组的疗效及穿孔、出血等并发症发生情况。结果:APC组一次性清除率为90.9%,显著高于高频电凝切除组81.9%,差异具有统计学意义(P<0.05);与高频电凝切除组比较,APC组黏膜下气肿的发生率较高,腹痛的发生率较低,差异有统计学意义(P<0.05)。未见出血、穿孔等并发症。结论:与高频电凝切除术相比,APC治疗胃肠道息肉一次性清除率较高,且术后并发症较少,值得临床推广。ABSTRACT Objective： To study clinical application of argon plasma coagulation （APC） in the treatment of patients with gastrointestinal polyps. Methods：136 patients with gastrointestinal polyps who were treated in our hospital were divided into APC group（n=68） and high-frequency electroblation group （n=68）. All the patients were followed up for 2 months and the effect and rates of complications of both groups were compared. Results： There was significant difference on one-time cure rate in APC group （90.9%） and high-frequency eleetroblation group （81.9%） （P〈0.05）. Compared with high-frequency electroblation group, the rate of submucosal emphysema was higher and rate of bellyache was lower （P〈0.05）. No perforation and hemorrhage was found. Conclusions： Endoscopic APC in the treatment of gastrointestinal polyps can improve the one-time cure rates and reduce the cemplications, therefore it is worth promoting in clinics. Key words： Gastrointestinal polyps; Argon plasma coagulation; High-frequency electroblation

关 键 词：胃肠道息肉 氩离子凝固术 高频电凝切除术 

分 类 号：R573[医药卫生—消化系统]