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目的 通过对52例不同消化道疾病的内镜下氩离子凝固术（APC）治疗结果的回顾分析,评估其疗效及安全性。方法2001年4月至2002年5月对52例门诊及住院患者因各种原因行内镜检查所发现的病变予以内镜下APC治疗,其中消化道出血者29例行止血治疗,消化道息肉样病变23例行APC切除治疗。结果 出血性渍疡中有l例因动脉性喷血而治疗失败转手术,其余均1次治疗成功,止血率达96.5％;对于小于5mm的息肉仅用 APC凝固即可清除,大息肉或腺瘤则需先行圈套器切除后再用APC处理残端组织,效果满意且用EndoCut高频电刀切除大的宽基腺瘤安全可靠、本组仅1例出现无症状的局部粘膜下气泡。结论 APC对于大多数非门脉高压性的消化道出血止血效果满意,但对较大口径的动脉性出血则有疑问。APC结合智能电刀处理各种消化道息肉样病变安全可靠。
Objective To evaluate the efficacy and safety of endoscopic argon plasma coagulation (APC) in 52 patients with different gastrointestinal diseases. Methods From April 2001 to May 2002, 52 patients with outpatients and inpatients underwent endoscopic APC for endoscopic diagnosis of pathological changes. Among them, 29 patients with gastrointestinal bleeding were treated with hemostasis and gastrointestinal polyps 23 cases of pathological resection of APC. Results Hemorrhagic gastric ulcer in 1 case due to arterial spurting failed to turn the surgery, the other were a successful treatment, bleeding rate was 96.5%; for polyps less than 5mm only APC coagulation can be removed, polyps or glands Neoplasms need to be preceded by a snare excision of the stump with APC, with satisfactory results and removal of a large wide-based adenocarcinoma with EndoCut high-frequency electric knife safe and reliable, in this group, only 1 patient developed asymptomatic submucosal air bubbles. Conclusions APC is satisfactory for the majority of non-portal hypertensive gastrointestinal bleeding hemostasis, but there is doubt about the larger diameter of arterial bleeding. APC combined with intelligent electric knife treatment of various gastrointestinal polyps-like lesions safe and reliable.