胃息肉内镜治疗方法探讨

ENDOSCOPIC THERAPY FOR GASTRIC POLYPS

本文比较了注射硬化剂、电凝电切、微波热凝3种方法治疗胃部息肉32例(36颗息肉)的结果,其中男15例,女17例.息肉最小3mm,最大20mm.注射5%鱼肝油酸钠的15颗息肉,10颗成功地摘除,失败的5颗再经电凝电切(4例)和微波凝除(1例),失败率33%;电凝电切摘除息肉共10颗,微波凝除息肉共16颗,均一次成功,成功率100%.结论:注射硬化剂失败率高,且需多次注射,电凝电切虽然效果与微波相同,但价格高、操作不方便,而国产微波治疗仪则只有上述优点,适合于各级医院使州,故作者推广微波凝除法治疗消化道息肉.

In this paper we compare the results of sclerotherapy,electrocoagulation and microwave coagulation for gastric polyps.Polypcctomy was performed in 32 patients(15 males and 17 females).Thirty-six polyps were rcmoved,the size of polyps was 3mm--20mm.Among 15 polyps treated by injection of sclcrosant (5%sod,morrhuatc)to polyps,five failcd to be re- moved and were cured by elcctrocoagulation and microwave coagulation latcr on(4 cases and 1 case respectively).Ten polyps were removed by electrocoagulation and sixteen by microwave coagulation,the success rats of both thcrapics was 100%.But microwavc coagulation is better than other therapy and is suit to any hospital or clinic department,because its cost is chcaper and the performance is simplc and casy.No complication occurred in this study.So we recom- mend that microwave coagulation should be the first choice for polypectomy in gastrointestinal tract.