摘要
目的对比分析内镜下医用组织胶"三明治"法注射治疗和金属夹治疗消化性溃疡出血的临床疗效。方法回顾性分析首都医科大学附属北京地坛医院2015年10月-2018年6月102例确诊为消化性溃疡出血并行内镜治疗的患者资料,分成治疗组和对照组,其中治疗组56例,对照组46例。治疗组采用内镜下医用组织胶"三明治"法注射治疗,对照组采用内镜下金属夹治疗,观察即时止血率、再出血率及不良反应发生率。结果治疗组即时止血率明显高于对照组,再出血率明显低于对照组,差异均有统计学意义(P<0.05),治疗组和对照组不良反应发生率比较,差异无统计学意义(P>0.05),两组均无死亡病例发生。结论内镜下医用组织胶"三明治"法注射术是治疗消化性溃疡出血的一种安全有效的方法,疗效确切,提高了患者的生存率,值得临床推广应用。
Objective To analyze the clinical efficacy of endoscopic injection of medical tissue gel"sandwich"and metal clamp in the treatment of peptic ulcer hemorrhage.Methods Retrospective analysis was conducted of the data of 102 patients with peptic ulcer hemorrhage treated under endoscope from October 2015 to June 2018.All the patients were divided into treatment group(56 cases)and control group(46 cases).The treatment group was treated with endoscopic medical tissue glue"sandwich"method,and the control group was treated with endoscopic metal clip to observe the rate of immediate hemostasis,rebleeding rate and adverse reaction rate.Results In the treatment group,the rate of hemostasis was significantly higher than that of the control group,and the rate of rebleeding was significantly lower than that of the control group,with statistical differences(P<0.05).There was no statistical difference in the incidence of ADR between the treatment group and the control group(P>0.05),and no deaths occurred.Conclusion Endoscopic injection of medical tissue glue"sandwich"is a safe and effective method for the treatment of peptic ulcer bleeding.The effect is accurate,and the survival rate of the patient is improved.It is worth clinical application.
作者
晋琼玉
尹皎
李坪
魏红山
Qiong-yu Jin;Jiao Yin;Ping Li;Hong-shan Wei(Department of Digestive Diseases,Pidu District People’s Hospital,Chengdu,Sichuan 611730,China;Department of Digestive Diseases,Beijing Ditan Hospital,Capital Medical University,Beijing 100011,China)
出处
《中国内镜杂志》
2020年第4期55-59,共5页
China Journal of Endoscopy
关键词
消化性溃疡
上消化道出血
内镜
医用组织胶
金属夹
peptic ulcer
upper gastrointestinal hemorrhage
endoscope
medical tissue glue
metal clip
