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目的对氩气刀治疗Barrett食管(BE)的近期疗效进行评价。方法选择37例BE患者进行60W氩气刀(APC)治疗,术后3、6、9和12个月随访,对其疗效及安全性进行评价。结果所有患者经氩气刀治疗均能完全消除Barrett黏膜。治疗后13例出现胸骨后疼痛,1例出现烧心、反酸、恶心,抑酸剂治疗后完全消失。36例患者均完成随访,5例长段BE复发。结论氩气刀治疗BE是安全有效的治疗方法。
Objective To evaluate the short-term efficacy of Argon knife treatment of Barrett’s esophagus (BE). Methods 37 patients with BE were treated with 60 W argon knife (APC), and were followed up at 3, 6, 9 and 12 months after operation to evaluate their efficacy and safety. Results All patients treated with argon knife completely abolished Barrett’s mucosa. Thirteen patients had post-sternal pain after treatment, and one patient had heartburn, acid reflux, nausea and disappeared completely after antacid therapy. Thirty-six patients were followed up and 5 cases of long-term BE recurrence. Conclusion argon knife treatment of BE is a safe and effective treatment.