国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
International Medicine and Health Guidance News
2015年
19期
2857-2860
,共4页
罗海军%谢永灿%谭彬斯%邢专%卢天有
囉海軍%謝永燦%譚彬斯%邢專%盧天有
라해군%사영찬%담빈사%형전%로천유
消化道大出血%介入栓塞%止血%DSA
消化道大齣血%介入栓塞%止血%DSA
소화도대출혈%개입전새%지혈%DSA
Massive hemorrhage of digestive tract%Interventional embolization%Hemostasis%DSA
目的 探讨介入栓塞治疗胃Dieulafoy病的临床效果.方法 将64例胃Dieulafoy病患者随机分为观察组和对照组,各32例.对照组行内镜下金属钛夹止血、电凝止血、药物注射止血等治疗及内科保守治疗,观察组使用放射介入动脉栓塞治疗.观察两组止血治疗效果.结果 观察组32例患者中,29例完全止血,2例部分止血,1例止血无效转外科行胃次全切除后痊愈,其总有效率为96.88％;对照组32例患者中,20例完全止血,4例部分止血,8例止血无效转外科行胃次全切除后痊愈,其总有效率为75.00％;观察组总有效率明显高于对照组(P<0.01).观察组无再发出血(0.00％),对照组再发出血2例(6.25％).结论 介入栓塞治疗胃Dieulafoy病疗效确切、创伤少、恢复快、并发症少、可重复性强,值得在临床推广.
目的 探討介入栓塞治療胃Dieulafoy病的臨床效果.方法 將64例胃Dieulafoy病患者隨機分為觀察組和對照組,各32例.對照組行內鏡下金屬鈦夾止血、電凝止血、藥物註射止血等治療及內科保守治療,觀察組使用放射介入動脈栓塞治療.觀察兩組止血治療效果.結果 觀察組32例患者中,29例完全止血,2例部分止血,1例止血無效轉外科行胃次全切除後痊愈,其總有效率為96.88％;對照組32例患者中,20例完全止血,4例部分止血,8例止血無效轉外科行胃次全切除後痊愈,其總有效率為75.00％;觀察組總有效率明顯高于對照組(P<0.01).觀察組無再髮齣血(0.00％),對照組再髮齣血2例(6.25％).結論 介入栓塞治療胃Dieulafoy病療效確切、創傷少、恢複快、併髮癥少、可重複性彊,值得在臨床推廣.
목적 탐토개입전새치료위Dieulafoy병적림상효과.방법 장64례위Dieulafoy병환자수궤분위관찰조화대조조,각32례.대조조행내경하금속태협지혈、전응지혈、약물주사지혈등치료급내과보수치료,관찰조사용방사개입동맥전새치료.관찰량조지혈치료효과.결과 관찰조32례환자중,29례완전지혈,2례부분지혈,1례지혈무효전외과행위차전절제후전유,기총유효솔위96.88％;대조조32례환자중,20례완전지혈,4례부분지혈,8례지혈무효전외과행위차전절제후전유,기총유효솔위75.00％;관찰조총유효솔명현고우대조조(P<0.01).관찰조무재발출혈(0.00％),대조조재발출혈2례(6.25％).결론 개입전새치료위Dieulafoy병료효학절、창상소、회복쾌、병발증소、가중복성강,치득재림상추엄.
Objective To investigate the clinical effect of interventional embolization in the treatment of gastric Dieulafoy disease.Methods 64 cases of gastric Dieulafoy disease were randomly divided into an observation group and a control group, 32 for each group.The control group were treated with endoscopic metal titanium clip hemostasis, electric coagulation, drug injection, hemostasis, etc., while the observation group were treated with interventional therapy.The effect of hemostasis was observed in both groups.Results 29 had complete hemostasis, 2 not complete, and 1 case was treated by surgery for the removal of the bleeding after subtotal thyroidectomy in the observation group, with a total effective rate of 96.88％.20 had complete hemostasis, 4 partial, and 8 were treated by surgery for the removal of the bleeding after subtotal thyroidectomy in the control group, with a total effective rate of 75.00％.The total effective rate of the observation group was significantly higher than that of the control group (P<0.01).No recurrence of bleeding was observed in the observation group (0.00％) and 2(6.25％) in the control group.Conclusions Interventional embolization for gastric Dieulafoy disease is effective and less traumatic,makes the patients recover fast, has fewer complications, and can be repeated.It is worth being clinically generalized.
