摘要
目的比较内镜下套扎法及组织黏合剂注射法治疗肝硬化胃底静脉曲张的临床疗效。方法将154例肝硬化食管胃底静脉曲张患者随机分为内镜下套扎组(对照组)及组织黏合剂注射组(观察组),观察两组患者的再次出血发生率、曲张静脉改善有效率及并发症的发生率。结果两组患者手术均成功,均无严重的并发症发生。随访9个月,观察组3、6、9个月内再出血发生率明显低于对照组,而曲张静脉改善的有效率明显高于对照组,差异有统计学意义(P<0.05)。结论内镜下注射组织黏合剂能更加有效的预防再出血的发生,其临床疗效更为确切,可作为治疗食管胃底静脉曲张的首选方法。
Objective To explore the clinical efficaeies of endoscopic variceal ligation and endoscopic injection of cyanoaerylate in thc treatment of gastric fundus variceal hemorrhage. Methods A total of 154 cases of gastric fundus variceal hemorrhage were treated by endoscopic varieeal ]igation （control group） and endoscopic injection of cyanoaerylate （trial group）. The incidence of rebleeding, complications, thc rates of effectively eliminating varices were observed. Results The operation successful in all the pa- tients, and no serious complications occurred. After follow-up for 9 months, the rates of re-bleeding of the trial group were signifi- cantly lower than that of the control group in 3, 6 and 9 months, and the rates of cffeetively eliminating variees were significantly higher than that of the control group （P 〈 0.05 ）. Conclusion Endoscopic injection of tissue adhesive for gastric varices bleeding can more effectively prevent re-bleeding. It should be regarded as the first choice in treating esophageal and gastric variees.
出处
《临床军医杂志》
CAS
2013年第4期350-351,363,共3页
Clinical Journal of Medical Officers
关键词
食管胃底静脉曲张
内镜下套扎
组织黏合剂
esophageal and gastric varices
endoscopic variceal ligation
cyanoacrylate
