EST术后止血夹预防性止血的回顾性研究  

Retrospective study on preventive usage of metal clip after EST

作　　者：龚彪[1] 王实[1] 别里克[1] 潘亚敏[1] 李新萍[1] 陆蕊[1] 

机构地区：[1]第二军医大学附属东方肝胆外科医院内镜科,上海200438

出　　处：《中华消化内镜杂志》2006年第3期183-185,共3页Chinese Journal of Digestive Endoscopy

摘　　要：目的探讨EST术后使用止血夹进行预防性止血的作用。方法185例ERCP+EST术患者随机分为两组,一组给予常规药物治疗(95例),另一组为常规药物加止血夹预防性止血治疗(90例),比较两组间的出血率有无差异。结果常规药物组出血3例,出血率3．2%；止血夹组出血0例,出血率0%,两组间出血率比较,差异有统计学意义(P＜0．05)。常规药物组3例出血患者均经内镜止血夹止血成功。结论预防性使用止血夹能明显减少EST术后出血并发症的发生率,EST术后应尽量预防性使用止血夹。Objective To study on the metal clip installation to avoid post-operative bleeding in patients accepted papilla sphinetecotomy. Methods One hundred and eighty five patients who accepted ERCP ＋ EST were divided into two groups ： Group 1 was given routine regimen alone （ N = 95 ） , group 2, given routine regimen and metal clip to prevent post-operative bleeding. Results The postoperative bleeding happened in 3 （ 3.2% ） cases of Group 1 and none in Group 2, there is significant difference between these two groups （ P 〈 0. 05）. The breeding cases in group I were controlled by metal clip under endoscopy successfully. Condusion Preventive usage of metal clip was significantly decreased the incidence of post-operative bleeding in EST patients.

关 键 词：括约肌切开术 内镜 出血 预防 止血夹 

分 类 号：R575.6[医药卫生—消化系统]