药物联合内镜下高频电凝治疗疣状胃炎的疗效观察

目的探讨内镜下高频电凝联合药物抗幽门螺杆菌(HP)治疗疣状胃炎(VG)的疗效。方法经胃镜诊断疣状胃炎86例患者,随机将其分为A(52例)、B(34例)两组。A组在胃镜下对所有疣状病变进行高频电凝疗法,术后予HP药物根除治疗。B组只予HP药物根除治疗。比较两组患者疗程结束后4周时HP根除率和疣状病变治疗效果,24周时疣状病变的治疗效果。结果两组在疗程结束后4周HP根治率无明显差异,4周和24周疣状病变治效果有显著差异。结论内镜下高频电凝联合药物抗HP疗法较单药物抗HP疗法治疗疣状胃炎效果更佳。

Clinical study on verrucous gastritis treated with HF electrocoagulation and anti-helicobacter pylori drug under endoscope

Aim To investigate the effect on verrucous gastritis treated with high frequency（HF）electrocoagulation and anti-helicobacter pylori（HP）drug under endoscope.Methods After gastroscopic diagnosis,86 cases of patients with verrucous gastritis were divided into group A and B by random.In group A,HF electrocoagulation was conducted on verrucous lesions of the each case under gastroscope,and the eradication therapy for HP was conducted after the surgery.But for Group B,only the eradication therapy for HP was conducted.In four weeks later,we not only compared the eradication rate of HP in the two groups,but also the effect on verrucous lesions,and the effect in 6 months after the treatment.Results In four weeks later,eradication therapy of HP showed no difference in the two groups,but the effect were significantly different not only four weeks but also six months later.Conclusion The effect of the therapy with HF electrocoagulation under endoscope is better than that only with anti-HP drug for verrucous gastritis.