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内镜下氩离子凝固术联合抑酸治疗Barrett食管疗效观察

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摘要 目的观察内镜下氩离子凝固术联合抑酸治疗Barrett食管的疗效。方法选择30例经内镜及病理检查证实为Barrett食管的患者,予以内镜下氩离子凝固术(APC),术后给予常规抑酸药物口服治疗2个月。于术后第1、第6、第12个月进行内镜随访,并统计其临床疗效和并发症。结果30例患者经APC治疗后食管鳞状上皮完全再生,均获治愈,其中27例患者(90.0%)经1次治疗,3例患者(10.0%)经2次治疗。治疗后12个月后复查发现4例复发。未发生出血、穿孔和食道狭窄、严重溃疡等严重并发症。结论内镜下氩离子凝固术联合抑酸治疗Barrett食管疗效较好,且安全性高。
出处 《疑难病杂志》 CAS 2010年第2期118-119,共2页 Chinese Journal of Difficult and Complicated Cases
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参考文献9

  • 1朱炳良,李佳,陈静.亚甲蓝染色对Barrett食管伴肠化诊断的临床价值[J].中华消化内镜杂志,2007,24(5):376-377. 被引量:4
  • 2Skinner DB, Waltber BC, Ridder RH, et al. Barrett' s esophagus : comparison of benign and malignant cases [ J ]. Ann Surg, 1983,198 ( 4 ) : 554- 556.
  • 3Weston AP, Krmpotich PT, Cherian R, et al. Prospective longterm endoscopic and histological follow-up of short segement Barrett' s esophagus [ J]. Am J Gastroenterol, 1997,92 ( 3 ) :407-413.
  • 4Sampliner RE. The practice parameters committeer of the American College of Gastroenterology: Practice guidelines on the diagnosis, surveillance, and therapy of Barrett' s esophagus [ J ]. Am J Gastroenterol, 1998, 93 (7) : 1028-1032.
  • 5小森真人,後藤英子.Barrett上皮的发生机制[J].日本医学介绍,2002,23(1):5-6. 被引量:11
  • 6薛寒冰.Barrett食管诊断和治疗——美国胃肠病学会芝加哥会议总结[J].胃肠病学,2005,10(3):182-186. 被引量:20
  • 7Basu KK, Pick B, Bale R , et al. Efficacy and one year follow up of Argon plama coagulation therapy for ablation of Barrett's esophagus[ J ]. Gut, 2002,51(6) :776-780.
  • 8邹多武.抑酸对Barrett食管的治疗价值[J].中华消化杂志,2006,26(2):121-122. 被引量:23
  • 9Pereira-Lima JC, Busnello JV, Saul C, et al. High power setting argon plasma coagulation for the eradication of Barrett's esophagus [ J ]. Am J Gastroenterol ,2000,95 ( 7 ) : 1661-1668.

二级参考文献11

  • 1徐肇敏.Barrett食管诊治中的问题[J].中华消化内镜杂志,2005,22(4):221-222. 被引量:22
  • 2房殿春.提高国内Barrett食管的诊疗水平[J].中华消化杂志,2006,26(2):73-75. 被引量:5
  • 3Shaheen NJ,Crosby MA,Bozymski EM,at al.Is there publication bias in the reporting of cancer risk in Barrett's esophagus?Gastroenterology,2000,119:333-338.
  • 4Menges M,Muller M,Zeitz M.Increased acid and bile reflux in Barrett's esophagus compared to reflux esophagitis,and effect of proton pump inhibitor therapy.Am J Gastroenterol,2001,96:331-337.
  • 5Orlando RC.Mechanisms of epithelial injury and inflammation in gastrointestinal diseases.Rev Gastroenterol Disord,2002,2:S2-S8.
  • 6Souza RF,Shewmake K,Terada LS,et al.Acid exposure activates the mitogen-activated protein kinase pathways in Barrett's esophagus.Gastroenterology,2002,122:299-307.
  • 7Buttar NS,Wang KK,Sebo TJ,et al.Extent of high-grade dysplasia in Barrett's esophagus correlates with risk of adenocarcinoma.Gastroenterology,2001,120:1630-1639.
  • 8El-Serag HB,Aguirre TV,Davis S,et al.Proton pump inhibitors are associated with reduced incidence of dysplasia in Barrett's esophagus.Am J Gastroenterol,2004,99:1877-1883.
  • 9Carlson N,Lechago J,Richter J,et al.Acid suppression therapy may not alter malignant progression in Barrett's metaplasia showing p53 protein accumulation.Am J Gastroenterol,2002,97:1340-1345.
  • 10Eggerk,Werner M, Meining A,et al. Biopsy surveillance is still necessary in patients with Barrett's oesophagus despite new endoscopic imaging techniques. Gut, 2003,52 : 18-23.

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