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经内镜射频联合抑酸治疗Barrett食管21例临床观察
引用本文:鲍英,夏星海.经内镜射频联合抑酸治疗Barrett食管21例临床观察[J].中国当代医药,2011,18(7):24-25.
作者姓名:鲍英  夏星海
作者单位:1. 大连市第三人民医院消化内科,辽宁大连,116033
2. 中国医科大学七年制95期
摘    要:目的:观察内镜下射频治疗术(RF)联合抑酸治疗Barrett食管(BE)的临床疗效。方法:选择经胃镜检查和病理证实的BE患者21例,行内镜下射频治疗,并于术后予抗反流和抑酸治疗,分别于术后1、6、12个月进行随访复查,评价其疗效和不良反应。结果:所有患者均顺利完成治疗,20例为1次治疗病灶完全清除,1例2次治疗病灶完全清除,12个月复查无一例复发。结论:应用内镜下射频治疗联合抑酸治疗BE的方法简便易行、安全,宜在基层医院开展和普及。

关 键 词:Barrett食管  胃镜检查  质子泵抑制剂  病理

Clinical observation of radio frequency combining acid suppression in endo-scopic treatment of Barrett esophagus
Authors:BAO Yin  XIA Xinghai
Institution:1.Department of Endoscopy,the Third People′s Hospital of Dalian,Liaoning Province,Dalian 116033,China;2.China Medical University,seven-year 95 period 7 class,Shenyang 110001,China)
Abstract:Objective: To observe the clinical effect of radio frequency(RF) combining omeprazole in endoscopic treatment of Barrett esophagus(BE).Methods: Twenty-one patients were diagnosed as BE by gastroscopy and pathology,were treated with RF combining acid suppression and domperidone.The results were observed by endoscopy and pathology after one month of treatment.All the cases were rechecked in three months,six months and one year after the ending of all treatments to evaluate the clinical effect and adverse reactions.Results: Treatments were accomplished in all patient.20 in 21 cases who received RF got eradication after one treatment,1 after two treatments.Be relapsed in none of the patients during 12 months′ follow up.Conclusion: Using RF combining acid suppression in endoscopic treatment of BE is convenient and safe.
Keywords:Barrett esophagus  Gastroscopy  Proton pump inhibitor  Pathology
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