目的 比较内镜下高频电凝切除术和氩离子凝固术(APC)治疗大肠息肉的疗效.方法 收集我院2009年5月至2011年5月两年治疗的大肠息肉患者共320例,随机分为两组,一组行高频电凝切除,另一组行APC治疗,比较两组治愈率以及出血、穿孔等并发症发生率.结果 APC组治愈率为100％,明显高于高频电凝切除术组的96.33％,差异具有统计学意义(P＜0.05),高频电凝切除组出血并发症发生率为10％,高于APC组的1.25％,差异具有统计学意义(P＜0.05),两组都无穿孔等严重并发症发生.结论 与高频电凝切除术相比,APC治疗消化道息肉出血并发症少,治愈率高,是临床安全有效的治疗方法,值得推广应用.%Objective To compare the clinical effects of endoscopic high-frequency electroblation and argon-plasma coagulation (APC) in the treatment of large intestinal polypi. Methods A total of 320 patients with large intestinal polypi were randomly divided into high-frequency electroblation group (160 cases) and APC group (160 cases). The complications, such as hemorrhage and perforation were observed. The recovery rates were compared between the two groups. Results The cure rate of the APC group was 100%, significantly higher than 96.33% of high-frequency electroblation group (P<0.01). The incidence of complications in high-frequency electroblation group was 10%, significantly higher than 1.25% in the APC group (P<0.01). No case of intestinal perforation occurred in both groups. Conclusion Argonplasma coagulation is a safe and effective for treating large intestinal polypi. It can reduce the complications and increase the recovery rate, which worth recommending in foundational hospitals.
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