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氩离子凝固疗法是一种非接触性热消融疗法,近年在消化道疾病的内镜治疗中,应用越来越广。其既可以用于良性肿瘤和早期恶性肿瘤的根治性治疗,也可以用于进展期恶性肿瘤的姑息性治疗,还可用于Zenker憩室、放射性直肠结肠炎、放射性胃炎、Barrett食管、Dieulafoy溃疡、血管畸形出血、胆道支架远端移位或位置不良等疾病的治疗。同时也出现了胃出口梗阻、结肠爆炸等罕见并发症的报道。本文就氩离子凝固疗法的新应用和一些少见的并发症的发生情况进行综述。
Argon ion coagulation therapy is a non-contact thermal ablation therapy, in recent years in endoscopic treatment of gastrointestinal diseases, the application is more widely used. It can be used both for the treatment of benign and early malignant tumors, as well as for palliative treatment of advanced malignancies. It can also be used in Zenker diverticula, radiation proctocolitis, radiation gastritis, Barrett’s esophagus, Dieulafoy’s ulcer, blood vessels Deformity bleeding, distal biliary stent displacement or poor position of the treatment of diseases. At the same time there have been reports of gastric outlet obstruction, colon explosion and other rare complications. This article summarizes the new applications of argon ionocoagulation therapy and the occurrence of some rare complications.