医学研究与教育 ›› 2018, Vol. 35 ›› Issue (6): 1-4.DOI: 10.3969/j.issn.1674-490X.2018.06.001

• 胃食管反流病专题 •    下一篇

微量射频技术治疗胃食管反流病的临床研究

汪平凡1,张高松1,吕银祥1,王方平1,汪忠镐2   

  1. 1.温州医科大学附属新昌医院消化内科, 浙江 新昌 312500;
    2.火箭军总医院胃食管反流病中心, 北京 100088
  • 收稿日期:2018-10-10 出版日期:2018-12-25 发布日期:2018-12-25
  • 通讯作者: 汪忠镐(1937—),男,浙江萧山人,主任医师,博士生导师,中国科学院院士,主要从事胃食管反流病及相关呼吸道疾病的诊治及发病机制研究。E-mail:zhongaowang@126.com
  • 作者简介:汪平凡(1969—),男,湖北宜昌人,主任医师,主要从事消化系疾病内镜下诊治及胃食管反流性疾病多学科临床诊疗。
  • 基金资助:
    浙江省绍兴市卫生计生科技计划项目(2016CX031)

  • Received:2018-10-10 Online:2018-12-25 Published:2018-12-25

摘要: 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。

关键词: 胃食管反流病, 微量射频, 临床研究

Abstract: Objective To study the safety and efficacy of micro radiofrequency for the gastroesophageal reflux disease. Methods The clinical data which a total of 97 patients underwent micro radiofrequency was analyed retrospectively in the hospital from October 2014 to January 2018. Results The operations were successfully performed in all patients and no operative deaths or severe complications occurred, the operation time ranged from 30 to 40 minutes, with an average(34.62±2.83)minutes. 85 cases were followed up for 6 months. On the six months after surgery: the scores Gerd-Q 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 of 67 patients were completely disappeared or improved significantly, stopped or reduced the use of PPI, and 13 patients were relieved, reduced significantly in the use of PPI, 5 cases were invalid. The total efficiency was 94.10%.Conclusion The micro radiofrequency for the gastroesophageal reflux disease is safe, the short-term clinical effect is satisfactory.

Key words: gastroesophageal reflux disease, micro radiofrequency, clinical curative study

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