胃镜下金属钛夹联合医用胶治疗胃底静脉曲张疗效分析  

Efficacy Analysis of Gastroscopic Metal Titanium Clip Combined with Medical Adhesive in the Treatment of Gastric Fundal Varices

作　　者：马孟霞 陶中原 郭顺红 赵春萍 李博文 张沁源 Ma Mengxia;Tao Zhongyuan;Guo Shunhong;Zhao Chunping;Li Bowen;Zhang Qinyuan(Department of Gastroenterology,The First People's Hospital of Dali City,Dali,Yunnan 671000,China)

机构地区：[1]大理市第一人民医院消化科,云南大理671000

出　　处：《大理大学学报》2023年第10期34-37,共4页Journal of Dali University

摘　　要：目的:探讨胃镜下金属钛夹联合医用胶治疗胃底静脉曲张的临床效果。方法:回顾性分析2020年6月1日至2021年6月30日大理市第一人民医院内镜中心行胃镜下胃底静脉曲张医用胶治疗患者80例的病历资料,比较单纯疗法(单纯组)及金属钛夹联合疗法(联合组)的临床效果及安全性。结果:与单纯组对比,联合组医用胶使用量显著增加,差异有统计学意义(P<0.05),但2组患者的再出血率仅在术后3个月时差异有统计学意义(P<0.05),其余时间点差异均无统计学意义(P>0.05),且2组患者在术后随访的12个月中均未出现异位栓塞情况。结论:胃镜下金属钛夹联合医用胶治疗胃底静脉曲张可降低再出血率,是一种安全、有效的治疗方法。Objective:To investigate the clinical efficacy of gastroscopic metal titanium clip combined with medical adhesive in the treatment of gastric fundal varices.Methods:A retrospective analysis was performed on the medical records of 80 patients who underwent gastroscopic treatment for gastric fundal varices with medical adhesive at the Endoscopy Center of the First People's Hospital of Dali City from June 1,2020 to June 30,2021.The clinical efficacy and safety of the monotherapy(monotherapy group)and metal titanium clip combined therapy(combined group)were compared.Results:Compared with the monotherapy group,the combined group had a significantly increased amount of medical adhesive used,with a statistically significant difference(P<0.05).However,the rebleeding rate between the two groups was only statistically significant at 3 months after surgery(P<0.05),while there was no statistically significant difference at other time points(P>0.05).Additionally,no cases of ectopic embolism occurred during the 12-month follow-up period in both groups.Conclusion:Gastroscopic metal titanium clip combined with medical adhesive in the treatment of gastric fundal varices can reduce the rate of rebleeding and is a safe and effective treatment method.

关 键 词：胃底静脉曲张 医用胶 金属钛夹 再出血 异位栓塞 

分 类 号：R575.2[医药卫生—消化系统]