摘要
【目的】观察应用内镜微波联合抗幽门螺杆菌(HP)治疗胃黏膜脱垂(GMP)的效果和安全性。【方法】对117例GMP患者随机分为两组:A组58例(先药物后微波组)和B组59例(药物+微波治疗组),比较两种方法的疗效。【结果】117例患者88例HP阳性,感染率75.2%。A组43例HP阳性患者抗HP治疗,治愈8例,治愈率18.6%(8/43),有效24例,总有效率74.4%(32/43),15例HP阴性患者经药物治疗后,复查胃镜或钡餐无变化;50例胃黏膜脱垂患者经药物治疗不消失者,采用微波治疗后治愈42例(84.0%),有效6例,无效2例,总有效率96.0%。B组采用药物+微波治疗GMP治愈50例84.7%(50/59),有效7例,无效2例,总有效率96.6%(57/59),与单纯药物治疗比较差异有显著性(P<0.01)。有5例出现轻微上腹部隐痛,3例出现黑便,但均在术后治疗1周内症状消失,共治疗GMP 156条。【结论】GMP与HP感染有关,单纯药物治疗疗效欠佳,内镜微波联合抗HP治疗GMP疗效确定,而且安全简便。
[Objective]To investigate efficiency and safety of treating prolapse of gastric mucosa combining microwave through gastroscope with anti-HP drugs. [Methods]One hundred seventeen cases with prolapse of gastric mucosa were randomly divided into two groups： group A and group B. Cases in group A were treated with microwave after drugs, while cases in group B combining microwave with drugs. The efficacy of treatment was observed. [Results]Eighty eight cases of 117 were HP positive, infection rate was 75%. Eight of 43 cases in group A with HP positive were healed, 24 cases improved, overall effective rate was 74.4%, while 50 cases were healed in group B and overall effective rate reached 96. 0%, There was apparent difference in effective rate between group A and group B. [Conclusion]Treatment of prolapse of gastric mucosa combining microwave through gastroscope with anti-HP drugs is effective and convenient.
出处
《医学临床研究》
CAS
2007年第2期216-217,共2页
Journal of Clinical Research
