期刊文献+

无痛胃镜下组织胶注射联合套扎术治疗食管胃底静脉曲张的疗效分析 被引量:3

Efficacy of Tissue Glue Injection Combined with Ligation under Painless Gastroscopy for Esophageal and Gastric Varices
下载PDF
导出
摘要 目的研究探讨食管胃底静脉曲张患者实施无痛胃镜下组织胶注射联合套扎术的治疗效果。方法选择100例食管胃底静脉曲张患者作为研究案例,2017年10月—2018年10月作为该研究的时间范围,采用随机数字表法将其分为实验组与对照组,各50例。实验组患者采用无痛胃镜下组织注射联合套扎术进行治疗,对照组患者在清醒状态下进行治疗。比较两组患者的并发症发生概率、操作时间、患者的治疗满意度、食管以及胃蠕动情况、视野清晰度。结果①实验组患者的总治疗时间为(9.28±3.24)min,对照组患者的总治疗时间为(12.09±4.08)min,两组患者之间的差异有统计学意义(t=3.814,P=0.000)。②实验组患者的治疗满意例数为48例,对照组患者的治疗满意例数为40例,两组患者之间的差异有统计学意义(χ2=6.061,P=0.014)。(3)实验组患者的总并发例数为2例,对照组患者的总并发例数11例,两组之间的差异有统计学意义(χ2=7.162,P=0.007)。④实验组患者对于食管及胃蠕动的满意例数为45例,对照组患者对于食管及胃蠕动的满意例数为33例,两组之间的差异有统计学意义(χ2=8.392,P=0.004);实验组患者对于视野清晰度的满意例数为48例,对照组患者对于视野清晰度的满意例数为38例,两组之间的差异有统计学意义(χ2=8.306,P=0.004)。结论在该次研究调查当中,可以明确得出结论,无痛胃镜下组织胶注射联合套扎术用于食管道胃底静脉曲张的治疗效果明显,可以降低患者的并发症发生概率,有效的改善患者的食管以及胃蠕动情况,提高患者的视野清晰度。 Objective To investigate the therapeutic effect of painless gastroscopy combined with tissue ligament injection in patients with esophageal and gastric varices.Methods A total of 100 patients with esophageal and gastric varices were selected as study cases.From October 2017 to October 2018 as the time range of this study,they were divided into experimental group and control group by random number table method.Patients in the experimental group were treated with painless gastroscopy tissue injection combined with ligation,and patients in the control group were treated with consciousness.The complications,operation time,patient satisfaction,esophageal and gastric motility,and visual field clarity were compared between the two groups.Results(1) The total treatment time of the patients in the experimental group was(9.28±3.24)min,and the total treatment time of the patients in the control group was(12.09±4.08)min.The difference between the two groups was statistically significant(t=3.814,P=0.000).(2) The number of satisfied patients in the experimental group was 48,and the number of satisfied patients in the control group was 40.The difference between the two groups was significant(χ2=6.061,P=0.014).(3) The total number of patients in the experimental group was 2 and the total number of patients in the control group was 11.The difference between the two groups was significant(χ2=7.162,P=0.007).(4) 45 patients in the experimental group were satisfied with esophageal and gastric motility,and 33 patients in the control group were satisfied with esophageal and gastric motility,with significant differences between the two groups(χ2=8.392,P=0.004);The number of satisfied patients in the experimental group was 48,and the number of satisfied patients in the control group was 38.The difference between the two groups was significant(χ2=8.306,P=0.004).Conclusion In this research investigation,it can be clearly concluded that the painless gastroscopy combined with tissue glue injection and ligation for the treatment of esop
作者 艾辉 AI Hui(People's Hospital of Chuxiong State,Chuxiong,Yunnan Province,675000 China)
出处 《世界复合医学》 2020年第5期186-188,198,共4页 World Journal of Complex Medicine
关键词 食管胃底静脉曲张 无痛胃镜 组织胶 套扎 Esophageal gastric varices Painless gastroscopy Tissue glue Ligation
  • 相关文献

参考文献10

二级参考文献66

  • 1陆星华,张泰昌.食管胃静脉曲张内镜下诊断和治疗规范试行方案(2003年)[J].中华消化内镜杂志,2004,21(3):149-151. 被引量:430
  • 2郑国启,张秀刚,于永礼,魏思忱,孙鑫义,陈霞,沈洪丽,权启镇.无痛胃镜下套扎治疗食管静脉曲张的临床观察[J].中国内镜杂志,2007,13(7):768-770. 被引量:11
  • 3Vlachogiannakos J,Kougioumtzian A,Triantos C,et al.Clinical trial:The effect of somatostatin vs oetreotide in preventing post-endoscopicincrease in hepatic venous pressure gradient in cirrhotics with bleed-ing varices[J].Aliment Pharmacol Ther,2007,26(12):1479-1487. 被引量:1
  • 4D'Amico G,de Franchis R.Upper digestive bleeding in cirrhosis.Post-therape-utic outcome and pn^nostic indicators[J].Hepatology,2003,38(3):599-612. 被引量:1
  • 5Garcia-Tsao G,Bosch J-Management of varices and variceal hemor-rhage in cirrhosis[J].New Eng J Med,2010,362(9):823-832. 被引量:1
  • 6丘德凯,马雄.消化病特色诊疗技术[M].北京:科学技术文献出版社,2004:382-403. 被引量:1
  • 7Chongsrisawat V,Vejapipat P,Siripon N,et al.Transient e-lastography for predieting esophageal/gastric varices in children with biliary atresia[J].BMC Gastroenterol, 2011, (11):41. 被引量:1
  • 8Bresci G.Portal hypertension:the management of esophageal/ gastric varices,portal hypertensive gastropathy or hyperten- sive colopathy[J].Therapy, 2016,4 (4) : 91-96. 被引量:1
  • 9Wei XQ, Gu HY,Wu ZE,et al.Endoscopic variceal ligation caused massive bleeding due to laceration of an esophageal varicose vein with tissue glue emboli[J].World J Gastroen- terol,2011,20(42) :15937-15940. 被引量:1
  • 10Vashist MG,Malik V,Singhal N.Role of subfascial endo- scopic perforator surgery (SEPS) in management of perfo- rator incompetence in varicose veins:a prospective ran- domised study[J].Indian J Surg,2014,76(2) :117-123. 被引量:1

共引文献63

同被引文献40

引证文献3

二级引证文献3

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部