中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
23期
103-105
,共3页
王树俊%曹新广%方立峰%王晓霞%陈宏超%张普选
王樹俊%曹新廣%方立峰%王曉霞%陳宏超%張普選
왕수준%조신엄%방립봉%왕효하%진굉초%장보선
内镜黏膜切除术%氩离子凝固术%胃黏膜脱垂症
內鏡黏膜切除術%氬離子凝固術%胃黏膜脫垂癥
내경점막절제술%아리자응고술%위점막탈수증
Endoscopic mucosal resection%Argon plasma coagulation%Gastric mucosa prolapse
目的 探讨内镜黏膜切除术(edoscopic mucosal resection,EMR)及氩离子凝固术(argon plasma coagulation,APC)在治疗胃黏膜脱垂症(gastric mucosa prolapse,GMP)中的作用.方法 将胃镜确诊113例胃黏膜脱垂症患者随机分为标准EMR组(40例)、氩离子凝固术组(40例)和对照组(33例);治疗组术后及对照组均采用内科药物治疗4周;1个月后行症状随访及胃镜复查,进行疗效评价.结果 标准EMR组、氩离子凝固术组和对照组随访症状缓解总有效率分别为94.87％、90.00％和32.26％,治疗组与对照组相比,差异有统计学意义(P＜0.01);两治疗组比较差异无统计学意义(P＞0.05).胃镜复查总有效率分别为97.37％、91.89％和16.7％;治疗组与对照组相比,差异有统计学意义(P＜0.01),两治疗组相比差异无统计学意义(P＞0.05),但EMR组(92.10％)的显效比例高于APC组(73.00％)(P＜0.05).结论 标准EMR治疗胃黏膜脱垂是一种安全、有效的微创治疗手段.
目的 探討內鏡黏膜切除術(edoscopic mucosal resection,EMR)及氬離子凝固術(argon plasma coagulation,APC)在治療胃黏膜脫垂癥(gastric mucosa prolapse,GMP)中的作用.方法 將胃鏡確診113例胃黏膜脫垂癥患者隨機分為標準EMR組(40例)、氬離子凝固術組(40例)和對照組(33例);治療組術後及對照組均採用內科藥物治療4週;1箇月後行癥狀隨訪及胃鏡複查,進行療效評價.結果 標準EMR組、氬離子凝固術組和對照組隨訪癥狀緩解總有效率分彆為94.87％、90.00％和32.26％,治療組與對照組相比,差異有統計學意義(P＜0.01);兩治療組比較差異無統計學意義(P＞0.05).胃鏡複查總有效率分彆為97.37％、91.89％和16.7％;治療組與對照組相比,差異有統計學意義(P＜0.01),兩治療組相比差異無統計學意義(P＞0.05),但EMR組(92.10％)的顯效比例高于APC組(73.00％)(P＜0.05).結論 標準EMR治療胃黏膜脫垂是一種安全、有效的微創治療手段.
목적 탐토내경점막절제술(edoscopic mucosal resection,EMR)급아리자응고술(argon plasma coagulation,APC)재치료위점막탈수증(gastric mucosa prolapse,GMP)중적작용.방법 장위경학진113례위점막탈수증환자수궤분위표준EMR조(40례)、아리자응고술조(40례)화대조조(33례);치료조술후급대조조균채용내과약물치료4주;1개월후행증상수방급위경복사,진행료효평개.결과 표준EMR조、아리자응고술조화대조조수방증상완해총유효솔분별위94.87％、90.00％화32.26％,치료조여대조조상비,차이유통계학의의(P＜0.01);량치료조비교차이무통계학의의(P＞0.05).위경복사총유효솔분별위97.37％、91.89％화16.7％;치료조여대조조상비,차이유통계학의의(P＜0.01),량치료조상비차이무통계학의의(P＞0.05),단EMR조(92.10％)적현효비례고우APC조(73.00％)(P＜0.05).결론 표준EMR치료위점막탈수시일충안전、유효적미창치료수단.
Objective To investigate the effects of endoscopic mucosal resection(EMR) and argon plasma coagulation(APC) on gastric mucosa prolapse(GMP).Methods One hundred and thirteen patients with gastric mucosa prolapse diagnosed by gastroscopy were randomly divided into standard EMR group(n =40),APC group(n =40) and control group (n =33).All patients had medical therapy for 4 weeks.These patients were followed up for the changes of symptoms and gastroscopy after 1 month,and the effect was evaluated.Results Compared with control group (32.26％),the total symptom relieve effective rate of standard EMR group (94.87％) and APC group (90.00％) was higher (P ＜ 0.01).But there was no significant difference in total symptom relieve effective rate between EMR group and APC group (P ＞0.05).Compared with control group(16.7％),the total effective rate by gastroscopy reexamination of standard EMR group (97.37％) and APC group (91.89％)was higher (P ＜0.01).But there was no significant difference in total effective rate by gastroscopy reexamination between EMR group and APC group (P ＞ 0.05).The proportion rate of endoscopic curative effect in EMR group (92.11％) was significantly higher than that in APC group (72.97％) (P ＜0.01).Conehsions Standard EMR treatment of gastric mucosa prolapse is a safe and effective minimally invasive treatment method.
