摘要
目的 探讨氩离子血浆凝固术（ＡＰＣ）对胃肠广基扁平息肉和出血的治疗作用。方法 广基扁平息肉患者１３例，３１枚息肉，行内镜下ＡＰＣ治疗；大息肉内镜切除及活检后出血５例，ＡＰＣ术止血治疗；对照组广基扁平息肉息者２０例，２８枚息肉，行内镜下热凝电极治疗。结果ＡＰＣ术和热凝电极在广基扁平息肉治疗中疗效相同，局部疼痛的副作用相似，但ＡＰＣ术导管探头无粘连，明显优于热凝电极治疗组５５％的发生串（Ｐ＜０．０１）。ＡＰＣ治疗大息肉内镜切除及活检后渗血迅速有效。结论ＡＰＣ术治疗胃肠广基扁平息肉及出血简便有效。
Objective To evaluate the clinical value of argon plasma coagulation (APC) in the gastrointestinal sessile flat polyps and bleeding after polypectomy or biopsy . Methods Thirteen patients (31 foci) with the gastric and colonic sessile lint polyps were treated by using APC under endoscopy, APC was used also in 5 patients with bleeding due to polypectomies and biopsies. Control group 20 patients (28 foci) with the sessile list polyps were treated by using hot probe . Results Treatment efficacy and side effect (local pain ) of APC and hot probe were similar, but without any tissue adhesion on the APC probe (control group 55% P <0.01). Its hemostatic action was rapid and effective in all 5 bleeding patients. Conclusi These preliminary clinical experiences showed APC was a rather effective method in treating the sessile flat polyps and bleeding after polypectomies or biopsies.
出处
《中华消化内镜杂志》
2001年第6期325-327,共3页
Chinese Journal of Digestive Endoscopy
