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胃镜下氩离子凝固术治疗Barrett食管的临床研究
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.胃镜下氩离子凝固术治疗Barrett食管的临床研究[J].胃肠病学和肝病学杂志,2009,18(4):355-356.
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
作者单位:1. 第四军医大学唐都医院消化科,陕西,西安,710038
2. 第四军医大学唐都医院胸外科,陕西,西安,710038
摘    要:目的探讨内镜下氩离子凝固术治疗Barrett食管的临床疗效。方法选择我院2006年3月-2007年4月经内镜检查及病理组织学检查诊断的Barrett食管患者87例,在内镜下行氩离子凝固术治疗,所有病例治疗后3个月及6个月时复查内镜以及病理组织学检查。结果87例Barrett食管患者3个月复查时78例(89.7%)胃镜下未见复发,9例(10.3%)由于BE黏膜长度较长,在原来部位有散在Barrett食管上皮残留,行第二次氩离子凝固术治疗,6个月复查胃镜及病理组织学检查,全部患者均未见Barrett黏膜复发。结论氩离子凝固术是经内镜非接触性治疗Barrett食管的新方法,操作方便,短期疗效较好。

关 键 词:Barrett食管  氩离子凝固术  癌前病变  治疗

Clinical study of argon plasma coagulation treatment of Barrett esophagus under endoscopy
YANG Qi,WANG Jingjie,YANG Ye,WEN Qinsheng,QIN Ming,ZHAO Baomin,WANG Xuxia,ZHAO Shuguang,LIU Zhenxiong,ZHANG Shaoling,HUANG Yuxin.Clinical study of argon plasma coagulation treatment of Barrett esophagus under endoscopy[J].Chinese Journal of Gastroenterology and Hepatology,2009,18(4):355-356.
Authors:YANG Qi  WANG Jingjie  YANG Ye  WEN Qinsheng  QIN Ming  ZHAO Baomin  WANG Xuxia  ZHAO Shuguang  LIU Zhenxiong  ZHANG Shaoling  HUANG Yuxin
Institution:YANG Qi, WANG Jingjie, YANG Ye, WEN Qinsheng, QIN Ming, ZHAO Baomin, WANG Xuxia, ZHAO Shu- guang, LIU Zhenxiong, ZHANG Shaoling, HUANG Yuxin(1. Department of Gastroenterology; 2. Department of Cardio-thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi' an 710038, China)
Abstract:Objective To evaluate clinical efficacy on argon plasma coagulation (APC) treatment of Barrett esophagus (BE) under endoscopy. Methods Eighty-seven BE patients were diagnosed by endoscopy and pathology and treated by APC. Re-examined by endoscopy and pathology in the third month and sixth month after APC treatment. Results Complete squamous re-epithelialization were observed in 78 patients (89.7%) after 3 months, while remnant islands of columnar epithelium dispersedly in original lesion were observed in 9 patients (10.3%) and then retreated with APC. Complete squamous re-epithelialization were observed in all patients after six month. Conclusion APC is a new therapeutic approach for BE without contact. It' s more efficient and more convinent.
Keywords:Barrett esophagus  Argon plasma coagulation  Precancerous lesion  Treatment
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