内镜下氩离子凝固治疗与联合治疗对消化性溃疡出血的疗效比较  

Effect of Argon Beam Coagulator with Combination of Injection and Argon Beam Coagulator under Endoscopy Therapy on Patients with Bleeding Ulcer of upper Gastrointestinal Tract

作　　者：姜英杰[1] 聂玉强[1] 沙卫红[1] 黎庆宁[1] 赖晓波[1] 

机构地区：[1]广州市第一人民医院消化内科,510180

出　　处：《中国消化内镜》2008年第1期9-12,共4页Digestive Disease and Endoscopy

摘　　要：目的探讨内镜下氩离子凝固治疗与氩离子凝固联合药物注射治疗上消化道溃疡出血的疗效。方法将123例内镜下有活动出血的溃疡患者分为2组。46例接受内镜下氩离子凝固止血治疗,77例接受氩离子凝固联合药物注射治疗。结果两种方法的即时止血率均为100%,有效止血率在氩离子凝固治疗组为84.8%,在联合治疗组为92.2%,两组比较无统计学差异(P>0.05),且所有病例无穿孔及其它术后并发症。结论两种内镜下治疗均能有效、安全止血,联合治疗并不优于单独氩离子凝固治疗。Objective：To study the effect of two kinds of endoscopic treatment on bleeding ulcer. Methods： 123 cases with active bleeding or nonbleeding visible vessels were enrolled into two groups. 46 patients were treated with argon beam coagulator, 77 patients were given treatment of combination of injection and argon beam coagulator. Results： The rate of immediate hemostasia in all cases was 100.0%, and the effective rates of argon beam coagulator treatment was 84.8% and the other was 92.2%, with no statistical difference P〉0.05）. Conclusion： Two kinds of treatment are effective measures for bleeding ulcer. Combination treatment is not more effective than argon beam coagulator.

关 键 词：溃疡 出血 内镜治疗 氩离子凝固 

分 类 号：R573[医药卫生—消化系统] R573.1[医药卫生—内科学]