胃镜下清创术对胃溃疡患者的临床疗效

Clinical efficacy of endoscopic debridement in patients with gastric ulcer

目的探讨胃镜下清创术治疗胃溃疡患者的，晦床疗效。方法对照组患者均采用常规性药物治疗，包括奥美拉唑胶囊和克拉霉素胶囊；研究组患者均采用胃镜下清创术，术后服药方法与对照组相同；术后2个月复查评价疗效，6个月复查比较复发率。结果研究组患者治疗总有效率（89．58％）明显高于对照组（67．47％）；在痊愈和好转患者中，6个月内复发率研究组达3．49％，明显低于对照组的10．71％；数据经统计学分析差异有统计学意义（P〈0．05）。结论采用胃镜下清创手术配合传统药物口服治疗胃溃疡具有较好的临床疗效，且能有效降低复发率，适用于临床推广。

Objective To investigate the clinical efficacy of endoscopic debridement on patients with gastric ulcer. Methods The control group were treated with conventional drug therapy, including clarithromycin omeprazole capsules and capsule, study group were treated with the endoscopic debridement, after taking the same approach with the control group. Review was made and efficacy was evaluated two months after operation, the recurrence rates were compared six months after operation. Results The total effective rate in study group（89.58% ） was significantly higher than control group （67.47%）, in the recovery and improvement patients, the recurrence rate within 6 months up to 3.49% in study group, which was significantly lower than the control group （ 10. 71% ）, there were significant differences by statistical analysis （P 〈 0. 05）. Conclusions Endoscopic debridement combined with oral treatment of gastric ulcer with traditional medicines has better clinical efficacy, and can effectively reduce the recurrence rate for clinical practice.