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目的本文比较氩离子凝固术(APC)和热探头(HP)在治疗消化道息肉中的作用.方法对78例消化道息肉患者分别行 APC 治疗(37例)和HP 治疗(41例).记录两种方法切除消化道息肉的平均时间、症状消失时间、副作用以及治疗创面渗血中的作用.结果与 HP 组相比,APC 组切除息肉的平均时间明显缩短(P=0.0002);且不加用圈套器直接治疗较大息肉时间也明显缩短(P=0.0001);APC 组无明显副作用,而 HP 存在探头粘连等副作用;两组治疗创面渗血作用时间无明显差异.结论 APC 为经内镜非接触性治疗消化道息肉的新方法,此法方便陕捷,疗效较好.
Objective To compare the effects of argon plasma coagulation (APC) and thermal probe (HP) in the treatment of gastrointestinal polyps.Methods 78 patients with gastrointestinal polyps were treated with APC (37 cases) and HP (41 cases) The mean duration of resection of gastrointestinal polyps, symptom disappearance time, side effects and wound healing were compared between the two methods.Results Compared with HP group, the mean time of resection of polyps was significantly shorter in APC group (P = 0.0002) The treatment of larger polyps with snare also significantly shortened the time (P = 0.0001); APC group had no significant side effects, while the existence of probe HP adhesions and other side effects; two groups of wound healing bleeding time was no significant difference.Conclusion APC is endoscopic Non-contact treatment of gastrointestinal polyps of the new method, this method convenient Shaanxi Jie, better curative effect.