摘要
目的 研究西藏地区内镜下聚桂醇联合组织胶改良注射法与传统注射法治疗胃底静脉曲张的随机对照。方法 将2018年8月-2021年8月就诊于拉萨市人民医院的胃底静脉曲张患者88例作为研究对象,随机分为对照组和观察组,各组实施不同的组织胶注射方法,每组44例。对照组实施传统注射法,观察组实施内镜下聚桂醇联合组织胶改良注射法。比较两组的术中注射点位和组织胶用量、治疗效果、止血效果、并发症发生等。结果观察组的术中注射点位明显较对照组更少,组织胶用量明显较对照组更少,差异具有统计学意义(P<0.05);观察组的治疗有效率明显较对照组更高,止血效果明显较对照组更好,并发症发生率更低,差异具有统计学意义(P<0.05)。结论 将内镜下聚桂醇联合组织胶改良注射法应用于胃底静脉曲张的治疗中效果显著,可以有效缓解胃底静脉曲张的临床症状,有效止血,且能减少术中注射点位和组织胶用量,值得进一步推广应用。
Objective To compare the effcacy of modifed and traditional injection of lauromacrogol combined with tissue glue in the treatment of gastric varices in Tibet. Methods Eighty-eight patients with gastric varices in Lhasa People’s Hospital from August 2018 to August 2021 were randomly divided into control group and observation group, 44 cases in each group. The control group was treated with traditional injection method, and the observation group was treated with modifed injection method of lauryl alcohol combined with tissue glue under endoscope. The intraoperative injection point, tissue glue dosage, therapeutic effect, hemostatic effect and complications were compared between the two groups. Results The intraoperative injection point of the observation group was signifcantly less than that of the control group, and the amount of tissue glue was significantly less than that of the control group, the difference was statistically signifcant(P<0.05). The effective rate of the observation group was signifcantly higher than that of the control group, the hemostatic effect was signifcantly better than that of the control group, the incidence of complications was lower, the difference was statistically signifcant(P <0.05). Conclusion The modified injection method of lauromacrogol combined with tissue glue has signifcant effect in the treatment of gastric varices, which can effectively relieve the clinical symptoms of gastric varices, effectively stop bleeding, and reduce the injection point and tissue glue dosage during operation, which is worthy of further promotion and application.
作者
巴桑卓玛
伊比然恨
Basangzhuoma;Yibiranhen(Lhasa People's Hospital,Lhasa,Tibet 850000)
出处
《智慧健康》
2022年第11期101-103,共3页
Smart Healthcare
基金
西藏自治区科技计划资助,项目编号:XZ 2019 ZR G-161。
关键词
内镜
聚桂醇
组织胶改良注射法
传统注射法
胃底静脉曲张
Endoscopy
Lauryl alcohol
Modified tissue glue injection
Traditional injection method
Gastric varices
