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本文报告应用内镜微波组织凝固疗法(EMCT)治疗胃息肉、胃癌、消化性溃疡三种疾病21例、39次治疗。提出了溃疡面搔刮加微波凝固治疗难治性溃疡、及 EMCT 联合内镜下局部注射化疗治疗进展期胃癌等方法。胃息肉13例27枚及Ⅱa 型早期胃癌1例与消化性溃疡3例全部达到治愈。85.2%的胃息肉 EMCT 一次治疗成功,Ⅱa 型早癌一次成功,消化性溃疡2例一次成功。进展期胃癌4例均达到肿块缩小、狭窄的胃腔扩大与自觉症状改善的效果。鉴于疗效显著,认为三种疾病均适用本疗法;并就 EMCT 的适应症、使用限度和治疗目的作了讨论;展望了以 EMCT 作为早期胃癌经内镜根治疗法手段之一的远景。
This article reported the use of endoscopic microwave tissue coagulation (EMCT) in the treatment of gastric polyps, gastric cancer, and peptic ulcer in 21 cases and 39 treatments. A method of treating refractory ulcers by scraping facial ulcers and microwave coagulation, and using EMCT in combination with local injection chemotherapy for advanced gastric cancer were proposed. Twenty-seven of 13 cases of gastric polyps, 1 case of type IIa early gastric cancer and 3 cases of peptic ulcer all reached a cure. 85.2% of gastric polyps were successfully treated with EMCT. Type IIa early cancer was successful, and peptic ulcer was successful in 2 cases. Four cases of advanced gastric cancer all achieved the effect of narrowing and narrowing of gastric cavity enlargement and improvement of subjective symptoms. Given the significant efficacy, it is believed that all three diseases are suitable for this therapy; and the indications, limits of use, and therapeutic purposes of EMCT are discussed; and the prospect of using EMCT as an endoscopic root approach for early gastric cancer is prospected.