摘要
[目的]分析并比较我院内镜下组织胶"改良三明治注射法"与传统组织胶治疗术在临床治疗食管-胃连通型静脉曲张(GOV型EVB)患者中的应用及疗效。[方法]收集2016年10月~2019年10月于我院接受治疗的GOV型EVB患者100例,按照随机数字表法将其分为对照组与观察组,每组各50例。观察组患者入院后进行组织胶"改良三明治注射法"治疗;对照组患者入院后进行传统组织胶治疗术治疗。治疗结束后,比较2组患者手术治疗情况、胃镜下曲张静脉改善情况;随访2组患者术后情况。[结果]观察组患者治疗次数、组织胶使用剂量均明显低于对照组患者(P<0.05)。观察组患者改善总有效率为96.00%明显高于对照组患者的68.00%(P<0.05)。2组患者止血率均为100.00%;观察组患者术后随访过程中再出血率显著低于对照组患者(P<0.05)。[结论]组织胶"改良三明治注射法"治疗GOV型EVB患者具有较好的临床效果,可显著改善患者手术治疗情况,提高改善其胃镜下曲张静脉的总有效率,降低患者术后发生再出血的风险。
[Objective]To analyze and compare the application and curative effect of "improved sandwich injection method" and traditional tissue glue therapy in clinical treatment of patients with esophagogastric varices(GOV type EVB).[Methods]A total of 100 patients with GOV type EVB treated in our hospital from Oct.2016 to Oct.2019 were collected and divided into control group and observation group according to the random number table method,50 cases in each group.The patients in the observation group were treated with "improved sandwich injection method" of tissue glue after admission;the patients in the control group were treated with traditional tissue gel sandwich after admission.After the treatment,the surgical treatment,improvement of varicose vein under gastroscope of patients were compared between the two groups.The prognosis of the patients were followed up in the two groups. [Results]The times of treatment,the dosage of tissue glue of patients in the observation group were significantly lower than those in the control group(P<0.05).The total effective rate of varicose vein improvement of patients in the observation group(96.00%)was significantly higher than that in the control group(68.00%)(P<0.05).The hemostasis rate of patients in the two groups was 100.00%;there was no significant difference between the patients in the two groups in terms of complications and death(P>0.05);the rebleeding rate of the patients in the observation group was significantly lower than that of the control group(P<0.05).[Conclusion]Tissue glue "improved sandwich injection method" has a better clinical effect in the treatment of GOV EVB patients,which can significantly improve the patients’ surgical treatment,improve the total effective rate of varicose veins under the gastroscope,and reduce the risk of postoperative rebleeding.
作者
仇玉平
杨秋燕
徐华兵
宣佶
QIU Yu-ping;YANG Qiu-yan;XU Hua-bing;XUAN Ji(Department of Gastroenterology,Qinhuai Medical District,General Hospital of Eastern Theater Command,Nanjing 210002,China)
出处
《中国中西医结合消化杂志》
CAS
2020年第10期749-752,共4页
Chinese Journal of Integrated Traditional and Western Medicine on Digestion
基金
国家自然科学青年基金项目(No:81704196)
江苏省333高层次人才培养工程项目(No:BRA2018408)
江苏省卫生健康委医学科研项目(No:H2019073)。
