氩离子凝固术治疗结直肠息肉的临床应用价值

目的探讨氩离子凝固术治疗结直肠息肉的疗效及临床应用价值。方法对160例患者共351枚结直肠息肉行氩离子凝固术（APC）治疗,其中214枚扁平和65枚亚蒂息肉仅行APC治疗,72枚有蒂息肉电切治疗后用APC处理息肉残端。结果本组病例全部临床治愈。2例患者出现无症状的局部黏膜下气肿,78例患者出现短暂腹痛,未行处理自行缓解。结论 APC是一种安全有效的结直肠息肉治疗方法,副反应少,操作简便,尤其是在扁平、广基息肉的治疗中可作为首选方法。

Application value of curing colorectal polyps with the argon plasma coagulation

Objective To evaluate the efficacy and the clinical value of argon plasma coagulation（APC） in the treatment of colorectal polyps. Methods One hundred and sixty patients with 351 colorectal polyps were treated with APC ablation.214 sessile and 65 semi-pedunculated polyps were only treated with APC,72 pedunculated polyps were treated with polypectomy and polyp remnants were also treated with APC. Results All of the patients were healed.Symptomless emphysema under the local mucosal occurred in 2 patients.Transient mild abdominal pain occurred in 78 patients and relieved without treatment. Conclusion APC is an effective and safe method for treating colorectal polyp.It is easy to operate with fewer complications and can be the preferred method for the applanate and wide outsole polyps.