中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
11期
59-60
,共2页
内镜%硬化剂%食管静脉曲张出血
內鏡%硬化劑%食管靜脈麯張齣血
내경%경화제%식관정맥곡장출혈
Endoscopic%Sclerosant%Esophageal variceal hemorrhage
目的 探讨内镜下使用硬化剂治疗食管静脉曲张出血的疗效.方法 选择2009年2月至2011年4月太钢总医院收治的食管静脉曲张患者60例,平均分为两组,每组30例.A组采用注射硬化剂疗法,B组采用常规药物疗法.观察两组患者急诊止血率,曲张静脉消失率,远、近期再出血率,以及曲张静脉复发率.结果 A组近期出血率为8.66％,B组为43.94％;A组急诊止血率为92.17％,B组为72.65％;A组曲张静脉消失率为85.24％,B组为2.15％,差异均有统计学意义(P均＜0.05).A组远期出血率为34.42％,B组为63.54％;A组曲张静脉复发率为42.65％,B组为84.73％,差异均有统计学意义(P均＜0.05).结论 内镜下使用硬化剂治疗食管静脉曲张出血的疗效显著.
目的 探討內鏡下使用硬化劑治療食管靜脈麯張齣血的療效.方法 選擇2009年2月至2011年4月太鋼總醫院收治的食管靜脈麯張患者60例,平均分為兩組,每組30例.A組採用註射硬化劑療法,B組採用常規藥物療法.觀察兩組患者急診止血率,麯張靜脈消失率,遠、近期再齣血率,以及麯張靜脈複髮率.結果 A組近期齣血率為8.66％,B組為43.94％;A組急診止血率為92.17％,B組為72.65％;A組麯張靜脈消失率為85.24％,B組為2.15％,差異均有統計學意義(P均＜0.05).A組遠期齣血率為34.42％,B組為63.54％;A組麯張靜脈複髮率為42.65％,B組為84.73％,差異均有統計學意義(P均＜0.05).結論 內鏡下使用硬化劑治療食管靜脈麯張齣血的療效顯著.
목적 탐토내경하사용경화제치료식관정맥곡장출혈적료효.방법 선택2009년2월지2011년4월태강총의원수치적식관정맥곡장환자60례,평균분위량조,매조30례.A조채용주사경화제요법,B조채용상규약물요법.관찰량조환자급진지혈솔,곡장정맥소실솔,원、근기재출혈솔,이급곡장정맥복발솔.결과 A조근기출혈솔위8.66％,B조위43.94％;A조급진지혈솔위92.17％,B조위72.65％;A조곡장정맥소실솔위85.24％,B조위2.15％,차이균유통계학의의(P균＜0.05).A조원기출혈솔위34.42％,B조위63.54％;A조곡장정맥복발솔위42.65％,B조위84.73％,차이균유통계학의의(P균＜0.05).결론 내경하사용경화제치료식관정맥곡장출혈적료효현저.
Objective To evaluate the efficacy of endoscopic treatment of sclerosing agent on esophageal variceal hemorrhage.Methods Sixty cases of esophageal variceal of department of gastroenterology in the general hospital of Taigang from February 2008 to April 2012 were divided into two groups,group A and group B,with 30 cases in each group.Group A received injection of sclerosing agent,and group B got drug treatment.In the course of treatment,emergency hemostatic rate,variceal dispersion rate,the rebleeding rate in long-term and short-term,varices recurrent rate were observed.Results The rebleeding rate in short-term of group A was 8.66％,the rebleeding rate in short-term of group B was 43.94％.The emergency hemostatic rate of group A was 92.17％,the emergency hemostatic rate of group B was 72.65％.The variceal dispersion rate of group A was 85.24％,the variceal dispersion rate of group B was 2.15％ (Pall ＜0.05).The rebleeding rate in long-term of group A was 34.42％,the rebleeding rate in long-term of group B was 63.54％,The varices recurrent rate of group A was 42.65％,the varices recurrent rate of group B was 84.73％ (Pall ＜0.05).Conclusions Treatment of esophagus variceal hemorrhage by injection of sclerosing agent endoscopic can remarkably enhance the curative effect.
