微量射频技术治疗胃食管反流病的临床研究

Clinical curative study of micro radiofrequency technology for gastroesophageal reflux disease

目的研究微量射频技术治疗胃食管反流病的安全性及临床疗效。方法回顾性分析2014年10月至2018年1月共97例接受微量射频技术治疗的胃食管反流病患者的临床资料。结果所有患者的治疗均获成功,治疗时间30～40 min、平均(34. 62±2. 83) min,无严重并发症及死亡。85例患者术后半年随访:GerdQ量表评分和DeMeester评分较治疗前均明显降低(P<0. 05)、食管下括约肌(LES)静息压较术前明显升高(P<0. 05); 67例患者症状消失或明显改善,停止使用或偶尔使用PPI药物,13例症状有缓解,PPI药物用量明显减少,5例无效,总有效率达94. 10%。结论微量射频技术治疗胃食管反流病是安全的,近期临床疗效满意。

Objective To study the safety and efficacy of micro radiofrequency for the gastroesophageal reflux disease.Methods The clinical data which a total of97patients underwent micro radiofrequency was analyed retro-spectively in the hospital from October2014to January2018.Results The operations were successfully performed in all patients and no operative deaths or severe complications occurred,the operation time ranged from30to40minutes,with an average(34.62±2.83)minutes.85cases were followed up for6months.On the six months after surgery:the scores GerdQ and De Meester were significantly lower than those before the operation(P<0.05),and the resting pressure of the lower esophageal sphincter was significantly higher than before the operation(P<0.05).The symptoms of67patients were completely disappeared or improved significantly,stopped or reduced the use of PPI,and13patients were relieved,reduced significantly in the use of PPI,5cases were invalid.The total efficiency was94.10%.Conclusion The micro radiofrequency for the gastroesophageal reflux disease is safe,the short-term clinical effect is satisfactory.