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目的对在我院就诊的胃动静脉血管畸形上消化道出血患者通过内镜治疗所达到的效果进行分析。方法将2007年至2011年在我院就诊的100例胃动脉血管畸形消化道出血的患者分为AB两组,每组各50例患者。对A组患者采用钛夹止血法治疗,对B组患者采用电凝止血和胃镜下喷洒法治疗。最后对两组患者的疗效进行对比。结果 A组合B组的止血成功率为90.0%和82.0%。A组患者治疗后复发出血率为6%,B组患者治疗后复发率为48%。结论患者的出血程度及血病灶的位置可以通过内镜治疗得到准确的确定。钛夹止血法的治疗效果要好于电凝止血法和其他药物的治疗。
Objective To analyze the effect of endoscopic treatment on gastrointestinal bleeding in patients with upper gastrointestinal arteriovenous malformations treated in our hospital. Methods A total of 100 patients with gastrointestinal bleeding from gastrodial arteriovenous malformations who were treated in our hospital from 2007 to 2011 were divided into two groups of 50 patients in each group. A group of patients treated with titanium clip hemostasis, B group of patients with coagulation and endoscopy electrotherapy spray method. Finally, the efficacy of the two groups were compared. Results The success rates of hemostasis in group A were 90.0% and 82.0%. The recurrence rate of hemorrhage was 6% in group A and 48% in group B after treatment. Conclusion The degree of hemorrhage and the location of the lesion in the patient can be accurately determined by endoscopic treatment. Titanium clip hemostatic treatment is better than the electrocatalytic hemostasis and other drug treatment.