内镜下微波加药物治疗消化性溃疡的疗效观察

目的:观察内镜下微波与药物联合治疗消化性溃疡的疗效.方法:260例消化性溃疡患者分成微波联合药物治疗组(n=150)及单用药物的对照组(n=110).经内镜下微波治疗后,观察临床症状缓解、溃疡愈合和复发情况,并与对照组对比.结果:治疗组1周临床症状缓解率高于对照组;治疗组溃疡愈合率为86.6%,对照组63.6%(P＜0.05);1个月和3个月后两组的溃疡愈合率相当;治疗组的复发率26.6%,对照组40.9%,两组差异有统计学意义(P＜0.05).结论:内镜下微波配合药物治疗能加快临床症状的缓解和溃疡的愈合,减少溃疡复发,是一种实用有效的治疗消化性溃疡的方法.

Effective evaluation of endoscopic microwave combined with anti-ulcer drug on treating peptic ulcer

Objective：To evaluate the efficacy of combination of microwave and anti-ulcer drug under endoscopy in peptic ulcer.Methods：260 patients with peptic ulcer were randomly divided into 2 groups：microwave combined with anti-ulcer drug group（n=150） and anti-ulcer drug group （n =110）.After treatment of microwave under endoscopy,the clinical symptoms and rate of healing as well as reoccurrence were compared between 2 groups.Results：The clinical remission rate of the combined group was higher than that of the control group within 1 week.The ulcer healing rate was 86.6% in the combined group and 63.6% in the control group respectively （P 0.05）.The ulcer healing rate of the two groups were equal after 1 month and 3 months.The rate of reoccurrence in the combined group was 26.6% and 40.9% in the control group respectively （P0.05）.The results indicated that the effects in the combined therapy group was better than that in the control group.Conclusion：Microwave combined with anti-ulcer drug therapy can promote the relieve of clinical symptoms and healing of peptic ulcer and decrease reoccurrence as well.It is a practical and effective treatment to peptic ulcer.