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目的探讨钛夹在预防和治疗胃肠道出血中的疗效和安全性。方法在胃镜、肠镜下应用钛夹预防和治疗胃肠道疾病出血27例,其中十二指肠球部溃疡12例,腺瘤6例,息肉4例,胃溃疡3例,胃错构瘤1例,十二指肠降部类癌1例。喷血或涌血3例,渗血15例,血管裸露4例,有潜在出血(有不牢固的新鲜血栓形成、病灶电凝切后有鲜红色创面裸露)5例。结果使用钛夹后出血停止或有效地预防了出血26例,有效率96·30%。27例共打钛夹86枚,成功80枚,打钛夹成功率93·02%。未发现任何并发症。结论钛夹预防和治疗胃肠道出血安全、有效。
Objective To investigate the efficacy and safety of titanium clips in the prevention and treatment of gastrointestinal bleeding. Methods 27 cases of gastrointestinal bleeding were treated by endoscopic treatment with gastroscopy and colonoscopy, including 12 cases of duodenal ulcer, 6 cases of adenoma, 4 cases of polyps, 3 cases of gastric ulcer, gastric hamartoma 1 case, duodenal descending carcinoid in 1 case. There were 3 cases of spurting or phlegm, 15 cases of bleeding, 4 cases of blood vessel exposure, 5 cases of potential hemorrhage (there was fresh thrombus with faint coagulation and bright red wound after electrocoagulation). Results The use of titanium clip bleeding stopped or effectively prevent bleeding in 26 cases, the effective rate of 96 · 30%. A total of 27 cases of playing titanium clip 86, the success of 80, playing titanium clip success rate of 93.02%. No complications were found. Conclusion titanium clip prevention and treatment of gastrointestinal bleeding is safe and effective.