内镜下套扎联合组织胶治疗食管胃底静脉曲张破裂出血的临床分析  

Clinical Analysis of Endoscopic Ligation Combined with Tissue Glue in the Treatment of Esophageal and Gastric Variceal Hemorrhage

作　　者：孙开峰 周震 俞海洋 SUN Kaifeng;ZHOU Zhen;YU Haiyang(Department of Gastroenterology,Huai′an Fifth People′s Hospital,Huai′an,Jiangsu Province,223300 China)

机构地区：[1]淮安市第五人民医院消化内科,江苏淮安223300

出　　处：《系统医学》2024年第8期126-129,共4页Systems Medicine

摘　　要：目的探究内镜下套扎联合组织胶治疗食管胃底静脉曲张破裂出血的临床效果。方法回顾性选取2022年1月—2023年9月于淮安市第五人民医院实施内镜下套扎治疗(对照组)、内镜下套扎联合组织胶治疗(观察组)的食管胃底静脉曲张破裂出血患者的临床资料,各50例。对两组治疗有效率、并发症发生情况、生活质量进行分析。结果观察组治疗有效率高于对照组(94.00%vs 80.00%),差异有统计学意义(χ^(2)=4.332,P<0.05);观察组并发症发生率低于对照组(2.00%vs 16.00%),差异有统计学意义(χ^(2)=5.982,P<0.05);观察组生活质量高于对照组,差异有统计学意义(P<0.05)。结论食管胃底静脉曲张破裂出血患者经内镜下套扎与组织胶联合治疗,安全性较高,患者出现各种并发症的概率显著降低。Objective To explore the clinical effect of endoscopic ligation combined with tissue glue in the treatment of esophageal and gastric variceal hemorrhage.Methods The clinical data of patients with esophageal and gastric variceal bleeding who underwent endoscopic ligation treatment(control group)and endoscopic ligation combined with tissue glue treatment(observation group)at Huai′an Fifth People′s Hospital from January 2022 to September 2023 were retrospectively selected,with 50 cases in each.The treatment efficiency,complications and quality of life of the two groups were analyzed.Results The treatment effective rate in the observation group was higher than the control group(94.00%vs 80.00%),and the difference was statistically significant(χ^(2)=4.332,P<0.05).The incidence of complications was lower in the observation group than the control group(2.00%vs 16.00%),and the difference was statistically significant(χ^(2)=5.982,P<0.05).The quality of life was higher in the observation group than the control group,and the difference was statistically significant(P<0.05).Conclusion Endoscopic ligation and tissue glue combined treatment for patients with esophageal and gastric varices rupture and bleeding is safe,and the incidence of various complications is significantly reduced.

关 键 词：内镜下套扎 组织胶 食管 胃底 静脉曲张破裂出血 

分 类 号：R575[医药卫生—消化系统]