摘要
目的探讨内镜下氩离子凝固术(APC)联合质子泵抑制剂治疗疣状胃炎的疗效。方法 88例疣状胃炎患者随机分为治疗组和对照组,治疗组内镜下氩离子凝固术联合质子泵抑制剂(奥美拉唑)治疗,对照组应用质子泵抑制剂(奥美拉唑)治疗,疗程为4周,对两组幽门螺杆菌(Helicobacter pylori,Hp)阳性者,同时应用阿莫西林、甲硝唑进行治疗,疗程为7d。4周后复查胃镜,判定疗效。结果治疗组临床症状改善和内镜病灶消失的有效率显著高于对照组(P<0.01),Hp根除率两组无统计学差异(P>0.05)。结论 APC术联合质子泵抑制剂治疗疣状胃炎疗效确切、安全可靠,临床值得推广。
Objective To observe the effect of the endoscopic argon plasma coagulation （APC） combined with proton pump inhibitor on verrucosa gastritis. Methods Eighty-eight patients with verrucosa gastritis were randomly divided into treatment group and control group, 45 cases in treatment group were treated with APC combined with proton pump inhibitor, while 43 cases in control group were treated with proton pump inhibitor for 4 weeks. The patients with H.pylori infection in both two groups were treated by amoxicillin and metronidazole for 7 days. All patients were reexamined by endoscopy, and the treatment effect was evaluated. Results The clinical symptoms and the endoscopic appearances in treatment group patients were significantly improved compared with those in control group patients （P 0.01）, while there was no significant difference between two groups as for H.pylori eradication rates （P 0.05）. Conclusion The treatment of verrucosa gastritis by APC combined with proton pump inhibitor is effective and safe.
出处
《现代消化及介入诊疗》
2011年第3期158-160,共3页
Modern Interventional Diagnosis and Treatment in Gastroenterology
关键词
疣状胃炎
胃镜
氩离子凝固术
Verrucosa gastritis
Endoscopy
Argon plasma coagulation
