胃镜下氩离子凝固术治疗胃息肉的临床效果及安全性  

Clinical effect and safety of argon plasma coagulation under gastroscope in the treatment of gastric polyps

作　　者：支丽丽 Zhi Lili(Liaocheng Veterans Hospital,Liaocheng 252000,China)

机构地区：[1]山东省聊城市退役军人医院,252000

出　　处：《现代养生》2022年第11期867-869,共3页Health Protection and Promotion

摘　　要：目的分析胃镜下氩离子凝固术(APC)治疗胃息肉的临床效果及安全性。方法将医院2021年1-12月收诊的胃息肉患者作为研究对象,其中使用胃镜下氩离子凝固术治疗的120例患者为氩离子凝固术组;使用胃镜下黏膜切除术治疗的1900例患者为黏膜切除术组。分析对比两组患者的各项指标变化情况。结果氩离子凝固术组患者的腹胀消失时间、息肉消失时间及住院时间均明显低于黏膜切除术组,差异有统计学意义(P<0.05);氩离子凝固术组患者的治疗有效率为95.00%,黏膜切除术组患者的治疗有效率为82.42%,氩离子凝固术组高于黏膜切除术组,差异有统计学意义(P<0.05);氩离子凝固术组的并发症发生率为5.83%,相比黏膜切除术组并发症发生率明显降低,差异有统计学意义(P<0.05)。结论胃息肉患者使用胃镜下氩离子凝固术治疗效果及安全性均优于胃镜下黏膜切除术治疗,可在临床治疗中首选氩离子凝固术作为胃息肉患者的治疗方法。Objective To analyze the clinical effect and safety of argon plasma coagulation(APC)under gastroscope in the treatment of gastric polyps.Methods The patients with gastric polyps admitted in the hospital from January to December 2021 were taken as the research object,of which 120 patients treated with APC under gastroscope were in the APC group;1900 patients treated with endoscopic mucosal resection were in the mucosal resection group.The changes of various indexes of the two groups were analyzed and compared.Results The disappearance time of abdominal distension,polyp and hospital stay in APC group were significantly lower than those in mucosal resection group(P<0.05);The effective rate of argon ion coagulation group was 95.00%,and that of mucosal resection group was 82.42%.The effective rate of APC group was higher than that of mucosal resection group(P<0.05);The complication rate of argon ion coagulation group was 5.83%,which was significantly lower than that of mucosal resection group(P<0.05).Conclusion The therapeutic effect and safety of APC under gastroscope in patients with gastric polyps are better than that of mucosal resection under gastroscope.APC can be the first choice in clinical treatment.

关 键 词：胃息肉 胃镜下黏膜切除术 胃镜下氩离子凝固术 

分 类 号：R656.61[医药卫生—外科学]