不同方法治疗Barrett's食管54例疗效分析

    Curative effect analysis on the treatment of 54 cases of Barrett's esophagus with different methods

    • 摘要: 目的:探讨不同方法治疗Barret'ts食管(BE)的疗效。方法:随机将54例BE患者分为对照组(A组)、单纯药物治疗组(B组)及内镜下氩气凝固术+药物治疗组(C组)各18例,分析各组治疗后的临床总缓解率、内镜下BE黏膜变化及不良反应发生情况。结果:与A组相比,B组及C组治疗后临床总缓解率明显升高,C组高于B组(P<0.01)。A组和B组黏膜未见明显改变,而C组BE黏膜消失。各组均无严重不良反应发生。结论:氩气凝固术+药物是治疗BE的安全、有效方法。

       

      Abstract: Objective:To study the clinical therapeutic effect in patients suffered from Barrett's esophagus.Methods:Fifty-four patients who suffered from Barrett's esophagus were divided into three groups:control group,the group treated with drugs only and the group treated with argon plasma coagulation (APC) and drugs.The total remission rate,the changes of mucous membranes of Barrett's esophagus in endoscope and the adverse effect were studied in different groups.Results:The total remission rates in the group treated with drugs only and the group treated with APC and drugs were increased compared to control group (P<0.01).And the effect in group with APC and drugs was more significant than in group with drugs only.There was no conspicuous change of mucous membranes of Barrett's esophagus in control group and the group treated with drugs only,but mucous membranes were disappeared in the group treated with APC and drugs.No serious adverse effect was observed in the three groups.Conclusions:It is a safety and effective method to treat Barrett's esophagus with APC and drugs.

       

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