肝硬化合并胃底静脉曲张选择胃镜下套扎的效果评价  

Evaluation of the Effect of Endoscopic Ligation in Liver Cirrhosis Complicated with Gastric Fundus Varices

作　　者：江道亮 魏芳 JIANG Dao-liang;WEI Fang(Tianjin Rehabilitation Center,Tianjin 300381;Tianjin Hexi Hospital of Traditional Chinese Medicine,Tianjin 300201)

机构地区：[1]天津康复疗养中心,天津300381 [2]天津市河西中医医院,天津300201

出　　处：《中国医疗器械信息》2024年第6期73-75,共3页China Medical Device Information

摘　　要：目的:探究胃镜下套扎对肝硬化合并胃底静脉曲张患者的干预效果。方法:选择2022年1月~2022年12月本院收治的86例肝硬化合并胃底静脉曲张患者,通过抽签方式将其平均分为对照组与观察组,每组各43例。持有蓝色签为对照组,接受保守治疗;持有红色签为观察组,接受胃镜下套扎治疗。比较不同干预方式下两组患者相关情况。结果:治疗有效率,观察组95.35%高于对照组的81.40%(P<0.05)。疼痛评分,随时间延长各组VAS评分降低,且均为观察组低于对照组(P<0.05)。并发症发生率,观察组4.65%低于对照组的18.60%(P<0.05)。胃动力水平,餐后胃窦收缩频率(F)、收缩波幅(P)、运动指数(MI)水平术后高于术前,且观察组高于对照组(P<0.05)。生活质量,术后2组卡氏功能评分均高于术前,且观察组卡氏功能评分高于对照组(P<0.05)。结论:胃镜下套扎治疗肝硬化合并胃底静脉曲张效果理想。Objective:To explore the effect of gastroscopic ligation on patients with liver cirrhosis complicated with gastric varicose veins.Methods:The study period was from January 2022 to December 2022.86 patients with cirrhosis complicated with varicose gastric fundus admitted to our hospital during this period were divided by lot into control group and observation group,with 43 cases in each group.Control group with blue sign received conservative treatment;Observation group with red label received endoscopic ligation treatment.The relevant situation of the two groups of patients under different intervention methods was compared.Results:The effective rate of treatment was 95.35%in observation group and 81.40%in control group(P<0.05).Pain score,VAS score decreased with the extension of time,and observation group was lower than control group(P<0.05).The incidence of complications was 4.65%in the observation group and 18.60%in the control group(P<0.05).The levels of gastric motivity,frequency(F),amplitude(P)and motion index(MI)of antrum after operation were higher than those before operation,and those in observation group were higher than those in control group(P<0.05).Quality of life,postoperative function scores of the 2 groups were higher than those before surgery,and the observation group was higher than the control group(P<0.05).Conclusion:Ligation under gastroscope in the treatment of liver cirrhosis complicated with gastric fundus varicose vein is ideal.

关 键 词：肝硬化 胃底静脉曲张 胃镜下套扎 效果 

分 类 号：R575[医药卫生—消化系统]