| 内镜下氩离子凝固术治疗胃肠道息肉446例临床分析 |
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| 引用本文： | 杨琦,王景杰,杨晔,闻勤生,秦明,赵宝民,王旭霞,赵曙光,刘震雄,张少玲,黄裕新.内镜下氩离子凝固术治疗胃肠道息肉446例临床分析[J].第四军医大学学报,2009,30(3):268-270. |
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| 作者姓名： | 杨琦 王景杰 杨晔 闻勤生 秦明 赵宝民 王旭霞 赵曙光 刘震雄 张少玲 黄裕新 |
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| 作者单位： | 杨琦,王景杰,闻勤生,秦明,赵宝民,王旭霞,赵曙光,刘震雄,张少玲,黄裕新,YANG Qi,WANG Jing-Jie,WEN Qin-Sheng,QIN Ming,ZHAO Bao-Min,WANG Xu-Xia,ZHAO Shu-Guang,HU Zhen-Xiong,ZHANG Shao-Ling,HUANG Yu-Xin(第四军医大学唐都医院,消化科,陕西,西安,710038);杨晔,YANG Ye(第四军医大学唐都医院,胸外科,陕西,西安,710038)
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| 摘 要： | 目的：探讨内镜下氩离子凝固术，介入治疗胃肠道息肉的应用价值及疗效．方法：采用德国ERBE公司生产的APC300型内镜专用氩气刀，对经病理学证实为胃肠道息肉进行氩离子凝固术，氩离子凝固治疗以内镜下整个病灶凝固为止，每枚息肉根据其部位、大小决定氩离子凝固次数．结果：采集446例患者共659枚息肉，其中508枚为直径小于5mm的扁平、广基息肉．经内镜氩离子凝固术治疗，3mo内复查内镜病变全部消除，治愈率为100％；直径大于5mm广基或亚蒂、细蒂息肉136例，118例经1次氩离子凝固术治疗，3mo后复查内镜病变全部消除．18例经第2次氩离子凝固术治疗，3mo后再次复查内镜病变消除；另有15枚有蒂息肉，在内镜圈套高频电刀治疗同时，采用内镜下氩离子凝固术配合治疗，3mo后再次复查内镜病变全部治愈．结论：内镜下氩离子凝固术对胃肠道广基、扁平息肉或息肉样隆起治愈率高、疗效显著，且简便易行、并发症少，有较高的临床应用价值．
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| 关 键 词： | 内镜 氩离子凝固术 息肉 介入治疗 |
Endoscopic argon plasma coagulation for gastrointestinal polyps in 446 cases |
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| YANG Qi,WANG Jing-Jie,YANG Ye,WEN Qin-Sheng,QIN Ming,ZHAO Bao-Min,WANG Xu-Xia,ZHAO Shu-Guang,LIU Zhen-Xiong,ZHANG Shao-Ling,HUANG Yu-Xin.Endoscopic argon plasma coagulation for gastrointestinal polyps in 446 cases[J].Journal of the Fourth Military Medical University,2009,30(3):268-270. |
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| Authors: | YANG Qi WANG Jing-Jie YANG Ye WEN Qin-Sheng QIN Ming ZHAO Bao-Min WANG Xu-Xia ZHAO Shu-Guang LIU Zhen-Xiong ZHANG Shao-Ling HUANG Yu-Xin |
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| Institution: | YANG Qi1,WANG Jing-Jie1,YANG Ye2,WEN Qin-Sheng1,QIN Ming1,ZHAO Bao-Min1,WANG Xu-Xia1,ZHAO Shu-Guang1,LIU Zhen-Xiong1,ZHANG Shao-Ling1,HUANG Yu-Xin11Department of Gastroenterology,2Department of Thoracic Surgery,Tangdu Hospital,Fourth Military Medical University,Xi'an 710038,China |
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| Abstract: | AIM: To evaluate the values and therapeutic effects of endoscopic argon plasma coagulation(APC) in the treatment of gastrointestinal(GI) polyps.METHODS: GI polyps confirmed pathologically were coagulated by argon plasma generated by German-made ERBE APC 300 EA.The number of times of coagulation for each polyp was determined by its size and location.RESULTS: A total of 659 polyps in 446 cases were investigated.Five hundred and eight flat and thin(diameter <5 mm) sessile polyps were totally removed by APC(100... |
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| Keywords: | endoscopy argon plasma coagulation polyps interventional therapy |
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