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目的:探讨活检钳钳除法治疗上消化道小息肉样病变的疗效和安全性.方法:回顾性分析北京大学深圳医院2000-2009年电子胃镜检查发现上消化道小息肉样病变(直径≤0.5cm)并行活检钳钳除病例治疗和随访资料,并与同期高频电切除病例资料(病变直径≤2.0cm)对比,比较两种治疗方法的并发症和病变复发情况.结果:入选病例共91例.活检钳钳除组56例,单发息肉样病变48例,多发8例,共计68枚病变.高频电切除组35例,单发息肉样病变23例,多发12例,共计54枚病变.所有研究病例内镜治疗后均无上消化道出血、穿孔等并发症,两组并发症发生率均为0.0%,无显著性差异.半年以后的随访和胃镜复查中两组均各有1例复发,两组复发率分别为1.5%、1.9%,无显著性差异.结论:活检钳钳除法治疗上消化道小息肉样病变的疗效和并发症与高频电切除法相比无显著性差异.活检钳钳除法可彻底摘除上消化道小息肉样病变,临床疗效肯定,安全实用,是治疗上消化道小息肉样病变的有效手段.
Objective: To investigate the efficacy and safety of biopsy forceps in the treatment of upper polyp of small polyp lesions.Methods: The retrospective analysis of electronic gastroscopy in Peking University Shenzhen Hospital from 2000 to 2009 found that upper polyp polyp lesions (diameter ≤0.5cm ) Parallel biopsy forceps in addition to case treatment and follow-up data, and compared with the same period of high-frequency electric resection cases (lesion diameter ≤ 2.0cm), comparisons of complications and lesions recurrence between the two treatment methods.Results: A total of 91 cases .The biopsy forceps group except for 56 cases, single polyp-like lesions in 48 cases, multiple in 8 cases, a total of 68 lesions.High-frequency resection group of 35 cases, single polyp-like lesions in 23 cases, 12 cases, a total of 54 lesions There was no significant difference in the incidence of upper gastrointestinal bleeding, perforation and other complications after endoscopic treatment in all the study cases, with a significant difference of 0.0% in both groups.After six months follow-up and endoscopy, both groups had 1 Recurrence, the recurrence rates were 1.5%, 1.9%, respectively, there was no significant difference.Conclusion: The biopsy forceps in the treatment of upper polyp polyp lesions-like effect and complications compared with high-frequency resection method was no significant difference Biopsy forceps removal can be completely removed Tract small polypoid lesions, clinically effective, safe and practical, effective means of digestive tract small polypoid lesions of the treatment.