中国医学前沿杂志(电子版)2017,Vol.9Issue(5):111-114,4.DOI:10.12037/YXQY.2017.05-22
内镜下组织胶注射联合套扎术治疗肝硬化食管胃底静脉曲张破裂出血的临床价值
Clinical value of endoscopic tissue adhesive injection combined with variceal ligation in the treatment of esophageal-gastric varices bleeding in patients with liver cirrhosis
摘要
Abstract
Objective To investigate the clinical value of endoscopic tissue adhesive injection combined with variceal ligation in the treatment of esophageal-gastric varices bleeding in patients with liver cirrhosis. Method 170 cases of patients with severe liver cirrhosis with esophageal-gastric varices bleeding in our hospital from August 2012 to July 2016 were selected as the subjects. They were divided into group A (tissue adhesive injection combined with sclerosis agent, 80 cases) and group B (tissue adhesive injection combined with ligation, 90 cases) according to the random number table method. The followed-up time was 6 months. The general effect of the two groups were analyzed and compared, included recent rebleeding rate, long-term rebleeding rate, complication rate and mortality. The difference of clinical efficacy and efficacy of gastric fundus varicose veins were compared. Result The long-term rebleeding rate, complication rate and mortality rate of group B were significantly lower than that of group A (P < 0.05), the total efficiency of treatment and the total effective rate of varices veins of group B were significantly higher than that of group A (P < 0.05). Conclusion Endoscopic tissue adhesive injection combined with variceal ligation is effective in the treatment of liver cirrhosis with esophageal-gastric varices bleeding, and can reduce the rate of complications mortality and effectively.关键词
内镜下组织胶注射/内镜下套扎术/肝硬化/食管胃底静脉曲张/疗效Key words
Endoscopic tissue adhesive injection/Endoscopic variceal ligation/Liver cirrhosis/Esophageal-gastric varices/Curative effect引用本文复制引用
文海,张太坤,陈文忠..内镜下组织胶注射联合套扎术治疗肝硬化食管胃底静脉曲张破裂出血的临床价值[J].中国医学前沿杂志(电子版),2017,9(5):111-114,4.基金项目
贵州省科技计划项目(0401170145) (0401170145)