内镜下综合治疗十二指肠球部溃疡出血65例疗效分析  

Clinical value of synthetical endoscopic treatment for hemorrhagic duodenal ulcer

作　　者：舒晴[1] 李花林[1] 赵素芳[1] 吕静[1] 刘新民[1] 

机构地区：[1]深圳市第二人民医院消化内科,100730

出　　处：《中国临床实用医学》2008年第11期28-29,共2页China Clinical Practical Medicine

摘　　要：目的探讨经内镜下综合治疗十二指肠球部溃疡出血的临床价值。方法对2005年1月至2008年7月共65例经内镜综合治疗的十二指肠球部溃疡出血患者的临床资料进行回顾性分析。结果65例患者止血成功57例，初次治疗成功率为87．6％。再出血8例，再次内镜下止血4例成功，4例治疗无效转外科手术治疗，总有效率为95．3％。结论内镜下综合治疗十二指肠球部溃疡出血是一种安全、有效的方法，应该作为首选方法在临床上推广应用。Objective To evaluate the clinical value of synthetical endoscopic treatment for hemorrhagic duodenal ulcer. Methods The clinical data of 65 patients with hemorrhagic duodenal ulcer treated with synthetical endoscopy were analysed retrospectively. Results 57 patients were hemostasia after the first treatment, the first hemostatic rate was87.6%. 4 patients bleeded again within 48 hours,4 patients were given surgical in-tervention after failure in the second treatment. The total rate of hemostasis was95. 3%. Conclusion Synthetical endoscopic treatment for bleeding duodenal ulcer is an effective and safe method, should be regarded as the first choice in clinical practice.

关 键 词：十二指肠球部溃疡 出血 内镜综合治疗 

分 类 号：R573.1[医药卫生—消化系统] R573.2[医药卫生—内科学]