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目的 :探讨高频电切和结扎法分别治疗上消化道息肉的临床疗效及优缺点。方法 :通过胃镜对 35例患者按常规方法行高频电切息肉 ,78例患者使用食道静脉曲张结扎器 ,将息肉全部吸入套扎器后结扎息肉。结果 :高频电切组治疗均一次成功。结扎组息肉全部结扎于根部 ,3～ 5d坏死脱落 ,成功率达 10 0 % ,全部病例均未发生严重并发症。结论 :两种治疗方法疗效相似 ,各有优缺点。高频电切法适用于各种类型息肉 ,疗效满意 ,能回收完整标本 ,但并发症相对较多 ,操作技术要求较高 ,设备昂贵 ;结扎法疗效好、安全、几乎无并发症出现、设备简单易行 ,但不能回收全息肉标本 ,对直径 >1.5cm的息肉疗效欠佳
Objective: To investigate the clinical efficacy and advantages and disadvantages of high frequency electrosurgical excision and ligation in the treatment of upper gastrointestinal polyps. Methods: Twenty-five patients underwent gastroscopic resection of high-frequency electric polypectomy by gastroscopy. Esophageal varices ligation was performed in 78 patients, and the polyp was aspirated into the ligation device and ligated. Results: High-frequency electric cutting group were treated successfully. Ligation group of polyps all ligation in the root, 3 ~ 5d necrosis, the success rate of 100%, no serious complications in all cases. Conclusion: The curative effects of two kinds of treatment are similar, each has its advantages and disadvantages. High frequency electrosurgical method is suitable for all types of polyps, the curative effect is satisfactory, the complete specimen can be recovered, but the complication is relatively high, the technical requirements are high and the equipment is expensive. The ligation method has good curative effect, safety and almost no complication, Simple, but can not be recycled holographic specimens, the diameter of> 1.5cm polyps poor efficacy