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内镜下高频电凝治疗胃窦粗大皱襞162例
引用本文:程秀莲,王丙信,任清华,郝波,宋潇逸,伏爱国,杨云. 内镜下高频电凝治疗胃窦粗大皱襞162例[J]. 世界华人消化杂志, 2007, 15(22): 2458-2460
作者姓名:程秀莲  王丙信  任清华  郝波  宋潇逸  伏爱国  杨云
作者单位:中国人民解放军251医院消化科,河北省张家口市,075000;中国人民解放军251医院消化科,河北省张家口市,075000;中国人民解放军251医院消化科,河北省张家口市,075000;中国人民解放军251医院消化科,河北省张家口市,075000;中国人民解放军251医院消化科,河北省张家口市,075000;中国人民解放军251医院消化科,河北省张家口市,075000;中国人民解放军251医院消化科,河北省张家口市,075000
摘    要:目的:探讨内镜下高频电凝治疗胃窦部粗大皱襞的疗效.方法:用电凝止血器或热活检钳.烧灼皱襞.结果:患者经内镜下1-3次高频电凝治疗,临床表现治愈139例(85.80%),好转14例(8.64%),无效9例(5.48%).内镜下复查粗大皱襞消失119例(73.46%),好转23例(14.20%),无效20例(12-35%);内镜下炎症改善情况,治愈0例;好转109例(67.28%),无效53例(32.72%);慢性活动性胃炎中性粒细胞消失57例(35.63%),1级52例(32.10%),2级32例(19.75%),3级21例(12.96%).结论:通过对胃窦部粗大皱襞的内镜下治疗,可以使粗大皱襞完全消失,临床症状改善,炎症明显改善.

关 键 词:粗大皱襞  胃镜  高频电凝  慢性活动性胃炎
收稿时间:2006-12-15
修稿时间:2007-07-10

High frequency electric coagulation under endoscope for 162 cases of hypertrophic gastric folds in sinus ventriculi
Xiu-Lian Cheng,Bing-Xin Wang,Qing-Hua Ren,Bo Hao,Xiao-Yi Song,Ai-Guo Fu,Yun Yang. High frequency electric coagulation under endoscope for 162 cases of hypertrophic gastric folds in sinus ventriculi[J]. World Chinese Journal of Digestology, 2007, 15(22): 2458-2460
Authors:Xiu-Lian Cheng  Bing-Xin Wang  Qing-Hua Ren  Bo Hao  Xiao-Yi Song  Ai-Guo Fu  Yun Yang
Abstract:AIM:To explore the therapeutic effects of high- frequency electric coagulation under endoscope in patients with hypertrophic gastric folds (HGFs)in sinus ventriculi. METHODS:HGFs were cauterized by electric coagulation hemostat or biopsy forceps. RESULTS:In 162 patients treated one to three times with high-frequency electric coagulation, 139(85.80%)showed clinical cure,14(8.64%) improvement,and 9(5.48%)lack of efficacy; 119(73.46%)showed HGF elimination,23 (14.20%)HGF reduction,and 20(12.35%)no improvement;109(67.28%)showed improve- ment of inflammation and 53(32.72%)no im- provement;57(35.63%)showed disappearance of heterophil granulocytes,52(32.10%)were ranked as first stage,32(19.75%)second stage, and 21(12.96%)third stage. CONCLUSION:HGFs may completely disap- pear,and clinical symptoms and inflammation can be significantly improved by high-frequency electric coagulation under endoscopy.
Keywords:Hypertrophic gastric folds  Gastroscopy  High frequency electric coagulation  Chronic reactive gastritis
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