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目的探讨胃镜下氩离子凝固术(APC)在治疗疣状胃炎中的临床效果及价值。方法将55例经胃镜诊断为成熟型疣状胃炎的患者,随机分为治疗组27例和对照组28例。治疗组内镜下应用氩气刀对病灶进行治疗,配合奥美拉唑、达喜治疗;对照组应用治奥美拉唑、达喜治疗,疗程均为五周,治疗后进行临床随访及胃镜复查。结果治疗组疣状病灶消失率87.2%,明显优于对照组18.7%,(P<0.01)。临床症状均有明显改善,但无统计学差异(P>0.05)。结论 APC治疗成熟型疣状胃炎优于单纯药物治疗,且操作简便,安全有效。
Objective To investigate the clinical effect and value of endoscopic argon plasma coagulation (APC) in the treatment of verrucous gastritis. Methods Fifty-five patients diagnosed as mature verrucous gastritis by gastroscope were randomly divided into treatment group (27 cases) and control group (28 cases). The patients in the treatment group were treated with argon gas knife and treated with omeprazole and dachiride. The control group was treated with omeprazole and dachiride for 5 weeks. After treatment, clinical follow-up and endoscopy Review. Results The disappearance rate of verrucous lesions in the treatment group was 87.2%, which was significantly better than that in the control group (18.7%, P <0.01). Clinical symptoms were significantly improved, but no significant difference (P> 0.05). Conclusion APC treatment of mature verrucous gastritis is better than simple drug therapy, and the operation is simple, safe and effective.