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目的观察抑酸加复合结扎治疗Barrett食管(BE)的临床效果。方法对40例经内镜和病理诊断为BE的病人,分别采取抑酸加复合结扎(治疗组)和抑酸加抗反流(对照组)治疗。于治疗后3、6、12个月分别进行内镜和病理检查,观察两组BE病人治疗情况。结果治疗组20例BE病人,治疗后3、6、12个月时的有效率分别为65%、70%、80%,而对照组则分别为0、0、25%。治疗组除出现短暂的吞咽疼痛、低热外,无出血、穿孔、狭窄等并发症。结论抑酸加复合结扎治疗BE,疗效高,见效快,长疗程抑酸加抗反流对BE治疗有一定作用。
Objective To observe the clinical effect of acid suppression combined with ligation on Barrett’s esophagus (BE). Methods Forty patients with endometriosis and pathological diagnosis of BE were treated with acid suppression plus ligation (treatment group) and acid suppression plus anti-reflux (control group) respectively. Endoscopic and pathological examinations were performed at 3, 6 and 12 months after treatment, respectively. The treatment of two BE patients was observed. Results In 20 patients with BE, the effective rates were 65%, 70% and 80% respectively at 3, 6 and 12 months after treatment, compared with 0 and 0, 25% respectively in the control group. In addition to the treatment group transient swallowing pain, fever, no bleeding, perforation, stenosis and other complications. Conclusion Inhibition of acid and combined ligation of BE, high efficacy, quick, a long course of acid and anti-reflux BE treatment to a certain extent.