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目的观察放射介入联合动脉栓塞治疗动脉源性胃出血的效果。方法选取医院收治的动脉源性胃出血患者120例,以患者治疗方法为准将其分为观察组和对照组,每组60例。观察组采用放射介入联合动脉栓塞治疗,对照组采用常规的补液、输血、注射等治疗,比较2组患者的临床治疗效果、再出血发生率及不良反应发生率。结果观察组治疗总有效率为96.7%,高于对照组的76.7%(P<0.05);观察组再出血发生率为6.7%,低于对照组的26.7%(P<0.05);2组不良反应发生率比较差异无统计学意义(P>0.05)。结论针对动脉源性胃出血患者采用放射介入联合动脉栓塞治疗效果显著,有效控制出血情况,具有较高的应用价值。
Objective To observe the effect of interventional radiotherapy and arterial embolization in the treatment of arterial-derived gastric hemorrhage. Methods A total of 120 patients with arterial-derived gastric hemorrhage admitted to the hospital were enrolled in this study. The patients were divided into observation group and control group with 60 patients in each group. The observation group was treated with radiotherapy and arterial embolization. The control group was treated with routine fluid replacement, blood transfusion and injection. The clinical effects, the incidence of rebleeding and the incidence of adverse reactions in the two groups were compared. Results The total effective rate of observation group was 96.7%, which was higher than that of control group (76.7%, P <0.05). The incidence of rebleeding in observation group was 6.7%, which was lower than that of control group (26.7%, P <0.05) There was no significant difference in the incidence of response (P> 0.05). Conclusions Radiotherapy and arterial embolization are effective for patients with arterial-derived gastric hemorrhage and have a good therapeutic value in the control of hemorrhage.