中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
CHINESE JOURNAL OF DIGESTIVE ENDOSCOPY
2011年
4期
200-203
,共4页
食管和胃静脉曲张%止血,内窥镜%内镜外套管
食管和胃靜脈麯張%止血,內窺鏡%內鏡外套管
식관화위정맥곡장%지혈,내규경%내경외투관
Esophageal and gastric varices%Hemostasis,endoscopic%Endoscopic wrapper
目的 探讨内镜外套管在辅助急诊内镜治疗食管胃静脉曲张破裂出血中的作用.方法 选择临床诊断为肝硬化门静脉高压食管胃静脉曲张破裂出血患者62例作为治疗组,采用外套管辅助急诊内镜注射硬化剂治疗.另选择同期行常规急诊内镜治疗的62例食管胃静脉曲张破裂出血患者作对照组,比较两组治疗效果.结果 治疗组62例患者在行急诊内镜止血中先用外套管压迫止血均获成功,止血效率为100%,显著高于对照组的80.65%(P＜0.05);治疗组食管胃静脉曲张注射后消失率为59.32%显著高于对照组7.27%(P＜0.05).胸痛和食管溃疡、总住院天数、总医疗费用,治疗组显著低于对照组(P＜0.05).结论 应用外套管辅助急诊内镜注射硬化剂治疗食管胃静脉曲张出血可提高治疗效率,减少患者负担.
目的 探討內鏡外套管在輔助急診內鏡治療食管胃靜脈麯張破裂齣血中的作用.方法 選擇臨床診斷為肝硬化門靜脈高壓食管胃靜脈麯張破裂齣血患者62例作為治療組,採用外套管輔助急診內鏡註射硬化劑治療.另選擇同期行常規急診內鏡治療的62例食管胃靜脈麯張破裂齣血患者作對照組,比較兩組治療效果.結果 治療組62例患者在行急診內鏡止血中先用外套管壓迫止血均穫成功,止血效率為100%,顯著高于對照組的80.65%(P＜0.05);治療組食管胃靜脈麯張註射後消失率為59.32%顯著高于對照組7.27%(P＜0.05).胸痛和食管潰瘍、總住院天數、總醫療費用,治療組顯著低于對照組(P＜0.05).結論 應用外套管輔助急診內鏡註射硬化劑治療食管胃靜脈麯張齣血可提高治療效率,減少患者負擔.
목적 탐토내경외투관재보조급진내경치료식관위정맥곡장파렬출혈중적작용.방법 선택림상진단위간경화문정맥고압식관위정맥곡장파렬출혈환자62례작위치료조,채용외투관보조급진내경주사경화제치료.령선택동기행상규급진내경치료적62례식관위정맥곡장파렬출혈환자작대조조,비교량조치료효과.결과 치료조62례환자재행급진내경지혈중선용외투관압박지혈균획성공,지혈효솔위100%,현저고우대조조적80.65%(P＜0.05);치료조식관위정맥곡장주사후소실솔위59.32%현저고우대조조7.27%(P＜0.05).흉통화식관궤양、총주원천수、총의료비용,치료조현저저우대조조(P＜0.05).결론 응용외투관보조급진내경주사경화제치료식관위정맥곡장출혈가제고치료효솔,감소환자부담.
Objective To evaluate the wrapper tube in emergency endoscopy for gastro-esophageal variceal hemorrhage. Methods A total of 62 patients diagnosed as having gastro-esophageal variceal bleeding were enrolled as the treatment group to accept wrapper tube assisted emergency endoscopic sclerotherapy. The therapeutic effect was compared with another group of 62 patients who also had gastro-esophageal variceal hemorrhage while treated by conventional emergency endoscopic sclerotherapy (control group). Results The rate of hemostasis with wrapper tube was 100%, which was significantly higher than that of the control group (80. 65%, P ＜0. 05). The rate of gastro-esophageal varices remission after sclerotherapy in treatment group was 59.32%, which was also significantly higher than that of the control group (7. 25%, P ＜ 0. 05 ). The rates of chest pain, esophageal ulcer, length of hospitalization, and total medical cost in treatment group were significantly lower than those of control group ( P ＜ 0. 05 ). Conclusion Wrapper tube in emergency endoscopy for gastro-esophageal varices bleeding can improve therapeutic effect and relieve patients' economic burden.
