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目的:分析第二代氩离子凝固疗法(VIOAPC)在各种消化系疾病内镜治疗中的安全性和有效性.方法:2007-09-14/2008-10-22西安交通大学第二医院消化科内镜室接受VIOAPC治疗的260患者,共接受VIOAPC治疗289次.对各种不同的疾病,均使用了VIOAPC系统.每次治疗后对VIOAPC的安全性和有效性进行记录.结果:各种疾病,平均需要接受VIOAPC1.11±0.31次.其中胃癌的姑息治疗,平均需要接受2.50次;用于止血治疗,需要1.23次;治疗结肠直肠息肉,需要1.15次;治疗上消化系息肉,需要1.03次;治疗食管支架置入后再狭窄,需1.17次;用于Barrett食管的消融治疗,需1.13次;治疗胃不典型增生、疣状胃炎、胃黄色瘤及胃和十二指肠脂肪瘤,均仅需1次治疗.10.1%-20%的患者轻微并发症(疼痛、吞咽困难/吞咽痛、腹胀、无症状性肠壁积气);没有患者出现严重并发症(出血、穿孔、狭窄).结论:VIOAPC可以安全、有效地用于各种消化系疾病,并可以广泛用于内镜治疗.
Objective: To analyze the safety and efficacy of the second generation argon ionocoagulation (VIOAPC) in endoscopic treatment of various digestive diseases.Methods: Digestive tract of the second hospital of Xi’an Jiaotong University from September 2007 to October 2008 The VIOAPC-treated 260 patients in the endocervical room received 289 VIOAPC treatments. The VIOAPC system was used for various diseases and the safety and efficacy of VIOAPC were recorded after each treatment.Results: Various The average number of patients who received VIOAPC was 11.11 ± 0.31, of whom palliative treatment for gastric cancer required an average of 2.50 visits, 1.23 for hemostasis, and 1.15 for treating colorectal polyps. Treatment of upper gastrointestinal polyps required 1.03 Times; treatment of esophageal stent restenosis after insertion, required 1.17 times; for ablation of Barrett’s esophagus, 1.13 times; treatment of atypical hyperplasia of the stomach, verrucous gastritis, gastritis and gastric and duodenal lipoma, Only one treatment was required.10.1% -20% of patients had minor complications (pain, dysphagia / swallowing pain, bloating, asymptomatic intestinal wall parenchyma); no patient had serious complications (bleeding, perforation, stenosis) Conclusion: VIOAPC can be used safely and effectively in various applications System disease, and it can be widely used in endoscopic treatment.