摘要
目的评价内镜下套扎治疗Le,g型食管胃底静脉曲张出血的近期疗效及安全性。方法采用连续回顾性方法,收集内镜下套扎20例(A组),改良“三明治”法注射栓塞联合套扎22例(B组)。评价近期再出血率及并发症发生情况。结果所有患者均于接受首次治疗后的4~6周完成随访。内镜下套扎组(A组)中发生近期再出血1例,近期再出血率5%(1/20);改良“三明治”法注射栓塞联合内镜套扎组(B组)发生再出血1例,近期再出血率4.5%(1/22);两例均经再次治疗后出血停止。结论两种治疗方式近期再出血率低,并发症发生率之间差异无统计学意义,内镜下套扎近期疗效及安全性分析高,与改良“三明治”法注射栓塞联合内镜套扎相比,套扎治疗的费用低,操作容易,可适合推广使用。
Objective To evaluate the recent efficacy and safety of endoscopic sleeve treatment Le,g-type esophageal gastric varicose hemorrhage.Methods Using continuous retrospective method,20 cases of endoscopic sleeve(Group A)were collected,and 22 cases(Group B)were combined with modified"sandwich"injection embolism.Evaluate the recent rate of re-bleeding and the occurrence of complications.Results All patients were followed up 4-6 weeks after receiving the first treatment.In the endoscopic sleeve group(Group A)occurred recently re-issuance of blood 1 case,the recent re-bleeding rate of 5%(1/20).Conclusion The two treatment methods have a low recent re-bleeding rate,no statistical difference between the incidence of complications,the recent efficacy and safety analysis of endoscopic sleeves are high,compared with the improved"sandwich"method injection embolism joint endoscopic sleeve,the cost of strapping treatment is low,easy to operate,can be considered for promotion and use.
作者
车寒蕊
李修岭
CHE Han-rui;LI Xiu-ling(Henan University People's Hospital,Zhengzhou 450003,China)
出处
《医药论坛杂志》
2019年第12期1-4,共4页
Journal of Medical Forum
基金
河南省医学科技攻关项目(201500065)。
