微波、热活检及高频电切治疗食管乳头状瘤67例疗效观察及随访  

Observation and follow up of 67 cases of esophageal papilloma treated with microwave coagulation,hot biopsy and highfrequency electric resection

作　　者：唐兴俊[1] 陈大勇[1] 罗春梅[1] 

机构地区：[1]中国十九冶集团有限公司职工医院消化内科,四川攀枝花617023

出　　处：《临床医学》2015年第10期25-26,共2页Clinical Medicine

摘　　要：目的探讨内镜下微波凝固、热活检及高频电切治疗食管乳头状瘤的有效性及安全性。方法内镜下对67例食管乳头状瘤患者按乳头状瘤大小分别行微波凝固、热活检钳电凝、圈套器电切治疗,术后口服奥美拉唑胶囊20 mg,2次/d,服用14 d,术后1、3、12个月随访并复查胃镜,观察瘤体脱落及复发情况。结果 67例均一次成功完成内镜下治疗,术中无并发症,术后24例胸骨后灼痛,48 h后消失,无需特殊处理;术后1个月复查胃镜乳头状瘤全部脱落,3个月后复查胃镜,局部黏膜修复正常,12个月后61例复查无复发,6例失访。结论微波凝固、热活检及高频电切治疗食管乳头状瘤安全有效,无复发。Objective To investigate the effect and safety of microwave coagulation,hot biopsy and high-frequency electric resection in the treatment of esophageal papilloma（ EP）. Methods According to the size of the papilloma,the 67 cases of EP were performed respectively microwave coagulation,hot biopsy forceps electric coagulation and frequency electric snare cutting treatment under endoscope. All patients were given oral omeprazole capsules（ 20 mg,bid） for 14 days and were followed up and endoscopy at 1,3 and 12 months after the treatment,and the tumors had fall off and relapse was observed. Results All cases were successful completion of endoscopic therapy,no complications occurred in the operation,twenty-four patients had burning pain behind the breastbone,the symptoms disappear within 48 hours,no special treatment. The papillomas were found all off by endoscopy after 1 month. Local mucosal repairing of the patients were found normal by endoscopy after 3 months,no recurrence was found in 61 cases of endoscopy after 12 months,6 cases were lost to follow-up. Conclusion Microwave coagulation,hot biopsy forceps electric coagulation and frequency electric snare cutting are effective and safe treatments for EP with no relapse.

关 键 词：食管乳头状瘤 微波凝固 热活检 电切治疗 

分 类 号：R735.1[医药卫生—肿瘤]