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上消化道内镜检查是诊断消化性溃疡的最有效的方式。不仅可确定溃疡的部位、数目、大小和形态,判断溃疡的病期。而且对消化性溃疡的鉴别诊断和疗效评定均具有较大价值。近年来,随着内镜及其附件的不断更新。相继开展了内镜下清创、局部用药、低功率激光照射等方法治疗消化性溃疡。以及在内镜下局部喷洒药物,局部注射药物、激光照射、微波凝固及高频电凝固等方法治疗出血性消化性溃疡,均取得一定疗效,为消化性溃疡的治疗开辟了新的途径。 1 难治性溃疡的内镜治疗 1.1 内镜下直接清创法:此法适用于各种类型的顽固性消化性溃疡,是内镜下治疗难治性溃疡的主要方
Upper gastrointestinal endoscopy is the most effective way to diagnose peptic ulcer disease. Not only to determine the location of the ulcer, the number, size and shape, to determine the stage of ulcer disease. And the differential diagnosis of peptic ulcer and efficacy evaluation have great value. In recent years, with the endoscope and its accessories constantly updated. Have been carried out endoscopic debridement, topical treatment, low-power laser irradiation and other methods of treatment of peptic ulcer. And local spraying of drugs under the endoscope, local injection of drugs, laser irradiation, microwave coagulation and high-frequency coagulation and other methods of treatment of hemorrhagic peptic ulcer, have achieved a certain effect, opened up a new way for the treatment of peptic ulcer. Endoscopic treatment of a refractory ulcer 1.1 Endoscopic direct debridement method: This method applies to all types of intractable peptic ulcer, is the main endoscopic treatment of refractory ulcer