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目的:探讨内镜下氩离子凝固术(APC)治疗胃肠道息肉的临床疗效。方法:将我院收治的胃肠道息肉的患者136例(248枚),随机分成APC组(68例132枚)和高频电凝切除组(68例116枚)。术后随访2个月,观察两组的疗效及穿孔、出血等并发症发生情况。结果:APC组一次性清除率为90.9%,显著高于高频电凝切除组81.9%,差异具有统计学意义(P<0.05);与高频电凝切除组比较,APC组黏膜下气肿的发生率较高,腹痛的发生率较低,差异有统计学意义(P<0.05)。未见出血、穿孔等并发症。结论:与高频电凝切除术相比,APC治疗胃肠道息肉一次性清除率较高,且术后并发症较少,值得临床推广。
Objective: To investigate the clinical efficacy of endoscopic argon plasma coagulation (APC) in the treatment of gastrointestinal polyps. Methods: 136 cases (248) of gastrointestinal polyps admitted to our hospital were randomly divided into APC group (68 cases, 132 pieces) and high frequency electrocoagulation resection group (68 cases, 116 pieces). The patients were followed up for 2 months. The curative effect, complications of perforation and bleeding were observed. Results: The one-time clearance rate in APC group was 90.9%, which was significantly higher than that in high-frequency electrocoagulation group (81.9%, P <0.05). Compared with high-frequency electrocoagulation group, submucosal emphysema The incidence of abdominal pain was lower, the difference was statistically significant (P <0.05). No bleeding, perforation and other complications. Conclusion: Compared with the high-frequency electrocoagulation resection, APC treatment of gastrointestinal polyps a one-time clearance rate, and less postoperative complications, is worth clinical promotion.