摘要
目的:探讨生长抑素联合内镜套扎术(EVL)治疗食管静脉曲张破裂出血(EVB)的临床价值。方法:将86例肝硬化门脉高压急性EVB患者分为两组,对照组40例给予EVL治疗,治疗组46例,术前开始联用生长抑素。结果:治疗组与对照组比较,EVL术前止血率分别为60.9%和37.5%,EVL术后止血率均为100%,早期再出血率分别为0和15%,迟发再出血率分别为13.0%和12.5%,死亡率均为0,术前止血率及早期再出血两组比较P<0.05,差异有统计学意义,EVL术后止血率、迟发再出血率及死亡率比较P>0.05,差异无统计学意义。结论:生长抑素联合EVL治疗EVB,能提高EVL术前止血率,减少EVL术后早期再出血率,是最理想的治疗方法。
Objective： To investigate somatostatin combined endoscopic band ligation（EVL） treatment of esophageal variceal bleeding（EVB） clinical value.Methods：86 patients with acute EVB portal hypertension were divided into two groups,control group of 40 treated with EVL,the treatment group 46 cases,started before surgery combined with somatostatin.Results： VS control group： EVL preoperative bleeding rate of 60.9% vs 37.5% EVL 100% rate of postoperative bleeding,early rebleeding 0% vs 15%,late rebleeding 13.0% vs 12.5%,mortality are 0,before surgery to stop bleeding and early rebleeding rate of P0.05 was statistically significant,EVL rate of postoperative bleeding,delayed rebleeding and mortality P0.05,no statistically significant.Conclusion： Somatostatin combined EVL treatment EVB,EVL can improve the preoperative bleeding rate,reduce the rate of early rebleeding after EVL,is the best treatment.
出处
《中国当代医药》
2011年第23期58-59,共2页
China Modern Medicine
