摘要
目的探讨食管胃底静脉曲张内镜治疗后早期再出血的临床治疗方法,为改进治疗方案提供理论依据。方法回顾性分析2010年1月至2015年1月于本院就诊的160例经内镜治疗后早期再出血的食管胃底静脉曲张患者的临床资料,根据治疗方案不同将患者分为内镜组、内镜+药物组、分流组及断流组,对比分析各组患者的治疗效果。结果治疗后,内镜+药物组、分流组及断流组患者的门静脉压力改善情况明显优于内镜组(P<0.05),且分流组患者门静脉压力改善情况最佳(P<0.05)。分流组患者静脉曲张复发及再出血发生率均明显低于其他三组(P<0.05)。各组患者并发症总发生率比较未见明显差异(P>0.05)。分流组患者住院时间及住院费用均明显少于其他三组(P<0.05)。结论分流术可降低食管胃底静脉曲张患者经内镜治疗后早期再出血的发生率,提高治疗效果,为临床治疗方案的选择提供了新思路。
Objective To investigate the clinical treatment of early rebleeding after endoscopic gastroesop-hageal varices treatment and to provide new thought for the selection of therapy. Method Retrospective analyzed the clinical data of 160 gastroesophageal varices patients who got rebleeding after endoscopic treatment from January 2010 to January 2015 in our hospital. Revolved patients were divided into endoscopy group, endoscopy ＋ drug group, shunt group and devascularization group according to different treatments. Comparative analyzed the efficacy among all the groups. Result After treatment, the portal pressure of endoscopic ＋ drug group, shunt group and devascularization group had improved significantly more than the endoscopy group （P 〈 0.05）, and shunt group improved the most （P 〈 0.05）; both the varices recurrence rate and rebleeding rate of shunt group were significantly lower than the other three groups （P 〈 0.05）. The incidence of complications in each group had no significantly different （P 〉 0.05）. Compared to the other three groups, the shunt group showed the shortest hospitalization and the least cost （P 〈 0.05）. Conclusion The shunt treatment can improve the outcomes of patients who got early rebleeding after endoscopic gastroesophageal varices treatment, to provide new ideas for clinical treatment.
出处
《中国医学前沿杂志（电子版）》
2016年第6期191-194,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
