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目的探讨氩离子凝固(APC)术治疗疣状胃炎的疗效.方法选择上海瑞金医院2000-01/08内镜诊断为成熟型疣状胃炎患者40例,先行内镜检查,同时行幽门螺杆菌(Hp)检测及病理组织学检查,首先给予达克普隆+甲硝唑+丽珠得乐,4 wk 舌复查内镜并使用氩离子凝固术,以1s～3s/次的时间施以氩离子凝固治疗,根据病灶的大小采用不同的次数,以内镜下所有疣状病灶灼除后粘膜平坦或略凹为止.所有病例治疗1mo 后进行临床随访及内镜复查.结果 APC 术治疗40例成熟型疣状胃炎,病灶数共计212枚,平均每枚病灶治疗时间为4.96s(范围2.5s～5s).1mo 后随访,38例(95%)患者临床症状明显改善.内镜复查发现,原病灶处均覆有新生的粘膜上皮及肉芽组织,无明显疤痕形成.2例(5%)患者仍见少许疣状灶及糜烂残留,再次行 APC 术治疗.结论疣状胃炎临床治疗颇为困难,作者经初步研究证实,APC 术操作简便,易于掌握.应用 APC 术为消除成熟型疣状胃炎病灶的一种有效方法.
Objective To investigate the curative effect of argon plasma coagulation (APC) in the treatment of verrucous gastritis.Methods Forty patients with mature verrucous gastritis diagnosed by Shanghai Ruijin Hospital from January 2000 to August 2008 were selected for endoscopic examination, Hp) test and histopathological examination, first given dapipronate + metronidazole + Livzonde, 4 wk tongue endoscopy and argon plasma coagulation, to 1s ~ 3s / time argon ion Coagulation therapy, according to the size of the lesion with a different number of endoscopic verrucous lesions after burning all mucosa flat or slightly concave until all cases were 1mo clinical follow-up and endoscopy.Results 40 cases of mature APC Verrucous gastritis, a total of 212 lesions, the average treatment time per lesion was 4.96s (range 2.5s ~ 5s) .After 1mo follow-up, 38 patients (95%) patients with clinical symptoms improved significantly. There were no nasal mucosal epithelium and granulation tissue, no obvious scar formation in 2 patients (5%) patients still see a little verrucous lesions and erosion residues, again APC treatment.Conclusion The clinical treatment of verrucous gastritis is quite difficult, The authors preliminary study confirmed that APC surgery easy and easy to palm An effective way to use APC technique to eliminate mature verrucous gastritis lesions.