摘要
目的探究经内镜组织胶注射联合套扎术治疗食管胃底静脉曲张的临床疗效。方法入选该次研究中的60例食管胃底静脉曲张患者均方便选自该院2015年7月—2018年7月期间,60例患者均选择内镜组织胶注射联合套扎术治疗方法,分析患者治疗效果。结果手术后1个月40例患者采用食管静脉曲张套扎术实施治疗,12例患者采用胃底静脉曲张进行注射治疗,5例患者出现早期再出血,比例为8.33%,20例患者出现早期不良反应,发生率为33.33%;食管静脉曲张治疗总有效率为93.33%,胃底静脉曲张治疗总有效率为86.67%;患者经9～30个月随访后,6例患者手术后1个月可看到排胶溃疡产生,3例患者溃疡面出现渗血现象,经对症治疗后症状缓解。结论经内镜组织胶注射联合套扎术治疗食管胃底静脉曲张效果良好,治疗操作方便,不会对患者产生较大的创伤,安全可靠性良好。
Objective To investigate the clinical efficacy of endoscopic tissue gel injection combined with ligation in the treatment of esophageal and gastric varices. Methods 60 patients with esophageal and gastric varices were enrolled in this study. All patients were convenient selected from July 2015 to July 2018. All 60 patients underwent endoscopic tissue in-jection combined with ligation. And the treatment effect of the two groups were analyzed. Results One month after surgery, 40 patients underwent esophageal variceal ligation, 12 patients underwent gastric varices, and 5 patients had early rebleed-ing, with a ratio of 8.33%. The incidence of adverse reactions was 33.33%;the total effective rate of esophageal varices was 93.33%, and the total effective rate of gastric varices was 86.67%;after 9-30 months of follow-up, 6 patients of 1 month af-ter surgery can be seen that the ulceration of the rubber was produced, and the bleeding of the ulcer surface appeared in 3 patients, and the symptoms were relieved after symptomatic treatment. Conclusion Endoscopic tissue injection combined with ligation for the treatment of esophageal and gastric varices is effective, easy to treat, does not cause large trauma to pa-tients, and has good safety and reliability.
作者
姚海蓉
YAO Hai-rong(Department of Gastroenterology, Qidong People's Hospital, Qidong, Jiangsu Province, 226200 China)
出处
《中外医疗》
2019年第8期72-74,共3页
China & Foreign Medical Treatment
