论文部分内容阅读
目的比较电凝联合内镜下注射血凝酶与钛夹联合内镜下注射血凝酶治疗重症消化性溃疡出血的疗效及安全性。方法 82例消化性溃疡出血患者随机分成两组,一组42例电凝止血后予内镜下注射血凝酶治疗;另一组40例钛夹钳夹止血后予内镜下注射血凝酶治疗。结果两组患者镜下治疗后即时止血率均为100%,止血成功率分别为80.5%和87.5%,两组对比差异无统计学意义。对于Forrest分级Ⅰa、Ⅱa出血灶,电凝组与钛夹组止血成功率分别为61.9%(13/21)与95.0%(19/20),钛夹组止血成功率高于电凝组。结论电凝联合内镜下注射血凝酶与钛夹联合内镜下注射血凝酶治疗消化性溃疡出血起效迅速,疗效确切,并发症少。但两者各有优缺点,可根据不同情况灵活选用。
Objective To compare the efficacy and safety of electrocoagulation with endoscopic injection of hemagglutinin and titanium clip combined with endoscopic injection of hemagglutinin in the treatment of severe peptic ulcer bleeding. Methods Eighty-two patients with peptic ulcer bleeding were randomly divided into two groups. One group consisted of 42 cases of coagulation-stopping hemostasis and endoscopic injection of hemagglutinin therapy. The other group of 40 cases of titanium-clamp were treated by endoscopic injection of hemagglutinin treatment. Results The immediate rate of hemostasis was 100% and the success rate of hemostasis was 80.5% and 87.5% respectively after treatment of the two groups. There was no significant difference between the two groups. For Forrest grade Ⅰa, Ⅱa hemorrhage, the success rate of hemostasis was 61.9% (13/21) and 95.0% (19/20) respectively in the coagulation group and the titanium group, and the success rate in the titanium group was higher than that in the coagulation group. Conclusion Electrocoagulation combined endoscopic injection of hemagglutinin and titanium clip combined endoscopic injection of hemagglutinin in the treatment of peptic ulcer bleeding rapid onset, the exact effect, fewer complications. However, both have their own advantages and disadvantages, can be flexibly selected according to different situations.