医用组织胶和金属夹治疗消化性溃疡出血的临床疗效对比

Clinical effect of medical tissue glue and metal clamp on peptic ulcer hemorrhage

摘要:

摘要：目的??对比分析内镜下医用组织胶“三明治”法注射治疗和金属夹治疗消化性溃疡出血的临床疗效。方法 回顾性分析首都医科大学附属北京地坛医院2015年10月－2018年6月102例确诊为消化性溃疡出血并行内镜治疗的患者资料，分成治疗组和对照组，其中治疗组56例，对照组46例。治疗组采用内镜下医用组织胶“三明治”法注射治疗，对照组采用内镜下金属夹治疗，观察即时止血率、再出血率及不良反应发生率。结果 治疗组即时止血率明显高于对照组，再出血率明显低于对照组，差异均有统计学意义（P??0.05），两组均无死亡病例发生。结论 内镜下医用组织胶“三明治”法注射术是治疗消化性溃疡出血的一种安全有效的方法，疗效确切，提高了患者的生存率，值得临床推广应用。

Abstract:

Abstract: Objective?To analyze the clinical efficacy of endoscopic injection of medical tissue gel “sandwich” and metal clamp in the treatment of peptic ulcer hemorrhage.?Methods?Retrospective analysis was conducted of the data of 102 patients with peptic ulcer hemorrhage treated under endoscope from October 2015 to June 2018. All the patients were divided into treatment group (56 cases) and control group (46 cases). The treatment group was treated with endoscopic medical tissue glue “sandwich” method, and the control group was treated with endoscopic metal clip to observe the rate of immediate hemostasis, rebleeding rate and adverse reaction rate.?Results?In the treatment group, the rate of hemostasis was significantly higher than that of the control group, and the rate of rebleeding was significantly lower than that of the control group, with statistical differences (P??0.05), and no deaths occurred.?Conclusion?Endoscopic injection of medical tissue glue “sandwich” is a safe and effective method for the treatment of peptic ulcer bleeding. The effect is accurate, and the survival rate of the patient is improved. It is worth clinical application.