内镜下精准食管胃静脉曲张断流术在食管胃底静脉曲张破裂出血中的应用效果

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英文篇名：Application effect of endoscopic precision esophagogastric varices in the diagnosis of esophagogastric varices bleeding 作者：陈燕琼 英文作者：CHEN Yan-qiong;Endoscopy Center,the Third People′s Hospital of Huizhou City,Guangdong Province; 关键词：内镜下精准食管胃静脉曲张断流术 ; 食管胃底静脉曲张破裂出血 ; 再出血率 ; 安全性 英文关键词：Endoscopic precision esophagogastric varices;;Esophageal varices bleeding;;Rebleeding rate;;Safety 中文刊名：ZGUD 英文刊名：China Modern Medicine 机构：广东省惠州市第三人民医院内镜中心; 出版日期：2019-03-18 出版单位：中国当代医药 年：2019 期：v.26;No.531 基金：广东省惠州市医疗卫生类科技计划项目(2018Y184) 语种：中文; 页：ZGUD201908014 页数：4 CN：08 ISSN：11-5786/R 分类号：50-53

摘要

目的探讨内镜下精准食管胃静脉曲张断流术在食管胃底静脉曲张破裂出血中的应用效果及安全性。方法选取2016年1月～2017年8月我院收治的60例食管胃底静脉曲张破裂出血患者作为研究对象,根据随机数字表法分为研究组(n=30)与对照组(n=30)。对照组采取传统序贯注射治疗,研究组采取内镜下精准食管胃静脉曲张断流术。统计两组的治疗情况(治疗时间、治疗期间失血量、住院时间)、治疗效果及并发症发生率。结果两组患者的治疗时间、治疗期间失血量、住院时间比较,差异无统计学意义(P>0.05);研究组患者的治疗总有效率为86.67%(26/30),高于对照组的63.33%(19/30)(P<0.05);两组患者的并发症总发生率比较,差异无统计学意义(P>0.05)。结论采取内镜下精准食管胃静脉曲张断流术治疗食管胃底静脉曲张破裂出血,可有效提高疾病整体治疗效果,且并发症发生率与传统治疗措施无差异。
        Objective To investigate the effect and safety of endoscopic precision esophagogastric varices in the diagnosis of esophagogastric varices bleeding. Methods Sixty patients with esophageal varices bleeding from January 2016 to August 2017 treated in our hospital were selected as the subjcts, and divided into study group(n=30) and control group(n=30) by random number table method. The control group was treated with conventional sequential injection,and the study group underwent endoscopic precision esophagogastric varices. The treatment status of the two groups(treatment time, blood loss during treatment, hospitalization time), treatment effect, and complication rate were counted.Results There was no significant difference in the treatment time, blood loss and hospitalization time between the two groups(P>0.05). The total effective rate of treatment in the study group was 86.67%(26/30), which was higher than the control group for 63.33%(19/30)(P<0.05). There was no significant difference in the total incidence of complications between the two groups(P>0.05). Conclusion Endoscopic precision esophagogastric varices surgery for esophageal and gastric varices bleeding can effectively improve the overall treatment of the disease, and the incidence of complications is no different from traditional treatment.

引文

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