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目的探讨氩离子凝固术的临床应用价值,评估其安全性及疗效。方法对2004年1月至2006年1月在哈尔滨医科大学附属第二医院消化內镜诊疗中心就诊的70例消化道息肉患者,采用德国ERBE公司生产的APC300EA型内镜下专用氩气刀,对广基扁平息肉进行经内镜下氩离子凝固术(APC)根除治疗。其中,直径在0.2~0.8cm广基、扁平息肉仅行APC切除治疗,直径在1.0~2.0cm的细蒂或粗蒂及宽基底大息肉行高频电切局部创面渗血,再行APC止血治疗。结果本组病例全部临床治愈。其中,一次成功切除50余枚息肉2例,20余枚2例,10余枚3例,仅用圈套器一次成功切除结肠多发有蒂大息肉30余枚2例。术后仅有2例患者出现无症状的局部黏膜下气泡,1周后复查无其他并发症发生。结论APC结合高频电切在各种消化道息肉病变治疗中安全性好,可有效止血,副反应少,操作简便,尤其是在扁平、广基息肉的治疗中可作为首选方法。
Objective To investigate the clinical value of argon ion coagulation and evaluate its safety and efficacy. Methods From January 2004 to January 2006 in the Digestive Endoscopy Center of Harbin Medical University Second Hospital, 70 cases of gastrointestinal polyps patients, using the German company ERBE APC300EA endoscopic argon knife for Guang-based flat polyps by endoscopic argon plasma coagulation (APC) eradication therapy. Among them, the diameter of 0.2 ~ 0.8cm wide base, flat polyps only APC resection treatment, the diameter of 1.0 ~ 2.0cm fine pedicled or rough pedicel and large basal polyp high frequency electric cut partial wound bleeding, and then APC hemostasis treatment. Results All patients in this group were cured. Among them, one successful resection of more than 50 pieces of polyps in 2 cases, more than 20 pieces in 2 cases, more than 10 pieces in 3 cases, only a successful snare removal of the colon more than 30 cases of pedicle polyp in 2 cases. Only 2 patients developed asymptomatic submucosal air bubbles and no other complications occurred after 1 week. Conclusions APC combined with high frequency electrotomy is safe and effective in the treatment of various gastrointestinal polyp lesions. It can effectively hemostasis with few side effects and is easy to operate. It can be used as the preferred method especially in the treatment of flat and wide polyps.