强力电凝与柔和电凝用于食管ESD创面止血后并发症比较  

Comparison of the FORCED COAG and SOFT COAG in the Wound Treatment of Esophageal ESD

作　　者：许鸣超 姜玉洋 崔征 杨爱峰 XU Ming-chao;JIANG Yu-yang;CUI Zheng;YANG Ai-feng(Puyang Oilfield General Hospital affiliated to Xinxiang Medical College,Puyang,China,457001)

机构地区：[1]新乡医学院附属濮阳市油田总医院,河南濮阳457001

出　　处：《食管疾病》2022年第2期99-101,110,共4页Journal of Esophageal Diseases

摘　　要：目的研究在食管内镜黏膜下剥离术(ESD)术中创面处理时应用强力电凝与柔和电凝的疗效及安全性。方法回顾性分析2019年1月至2021年10月我院因早期食管癌及食管癌前病变行食管ESD的110例患者资料,其中55例患者在完整剥离病变黏膜后应用强力电凝模式处理创面,55例患者应用柔和电凝模式处理创面,比较两组术后出血、穿孔、狭窄等并发症的发生率。结果强力电凝组术后穿孔发生率较柔和电凝组高,差异有统计学意义(P<0.05);而术后出血、狭窄等并发症发生率比较,差异无统计学意义(P>0.05)。结论在食管ESD术中创面处理时应用柔和电凝模式,较强力电凝模式更安全、有效,可降低术后穿孔发生率。Objective To study the efficacy and safety of FORCED COAG and SOFT COAG in the wound treatment of esophageal endoscopic submucosal dissection(ESD).Methods The data of 110 patients who underwent endoscopic submucosal dissection(ESD)for early esophageal cancer and precancerous lesions in our hospital from January 2019 to October 2021 were analyzed retrospectively.After complete dissection of the mucosal lesions,55 patients were treated with FORCED COAG mode,the other 55 patients were treated with SOFT COAG mode.The incidence of postoperative bleeding,perforation,stenosis was compared between the two groups.Results The incidence of postoperative perforation in FORCED COAG group was higher than that in SOFT COAG group(P<0.05).However,there were no statistical significance in the incidences of postoperative bleeding,stenosis and other complications(P>0.05).Conclusion SOFT COAG mode is safer and more effective than FORCED COAG mode in the wound treatment of esophageal ESD,which can reduce the incidence of postoperative perforation.

关 键 词：电凝模式 食管 内镜黏膜下剥离术 并发症 

分 类 号：R571.1[医药卫生—消化系统]