CAJ | 학술논문

目的通过定标活检术评价氩离子凝固术(APC)对Barrett食管(BE)疗效.方法选择2010年3月至2011年3月经胃镜和定标活检后病理证实的BE患者35例,予以行APC,术后辅以质子泵抑制剂治疗,通过定标处内镜下所见及病理结果评价其疗效,并分析并发症等情况.结果35例患者共行40次APC治疗,平均1.14次/例,经治疗后34例(97.1%)获得BE完全逆转.单次定标成功率100%,随访超过6、10及12个月的患者中,定标存在率分别为100%、93.3%及77.8%.结论 APC治疗BE安全有效,用定标活检术评价APC治疗BE更为科学和精确.
목적통과정표활검술평개아리자응고술(APC)대Barrett식관(BE)료효.방법선택2010년3월지2011년3월경위경화정표활검후병리증실적BE환자35례,여이행APC,술후보이질자빙억제제치료,통과정표처내경하소견급병리결과평개기료효,병분석병발증등정황.결과35례환자공행40차APC치료,평균1.14차/례,경치료후34례(97.1%)획득BE완전역전.단차정표성공솔100%,수방초과6、10급12개월적환자중,정표존재솔분별위100%、93.3%급77.8%.결론 APC치료BE안전유효,용정표활검술평개APC치료BE경위과학화정학.
@@@@Objective To evaluate the efficacy of argon plasma coagulation(APC) in treatment of Barrett's esophagus with marking targeting biopsy. Methods Thirty five patients with Barrett's esophagus underwent APC and received acid suppression treatment from March 2010 to March 2011. The efficacy and complications were fol owed up with marking targeting biopsy. Re-sults The complete squamous regeneration was achieved in 34 patients (97.1%) after total 40 APC sessions with a mean of 1.14/patient. Single marking targeting biopsy was successfully carried out in al patients. The rates of mark existence were 100%, 93.3%and 77.8%during fol ow up for 6, 10 and 12 months, respectively. Conclusion The marking targeting biopsy provides an effective and accurate method for evaluation of the efficacy of argon plasma coagulation in treatment of Barrett's esophagus.