改良注射法在组织胶注射治疗胃底静脉曲张中的临床应用

Clinical application of modified injection method in treatment of gastric fundus varicose veins

摘要:

目的 探讨加用正压接头的改良注射法在组织胶注射治疗胃底静脉曲张中的临床应用效果。方法 将66例胃底静脉曲张患者按照随机数表法分成实验组和对照组，各33例，均于无痛内镜下行组织胶注射。对照组采取常规“三明治夹心”（聚桂醇 + 组织胶 + 聚桂醇）内镜下注射法治疗；实验组采取“三明治夹心”（聚桂醇+组织胶+聚桂醇）注射法治疗，内镜注射针外接正压接头注射。比较两组患者术中堵针、滞针发生率。结果 实验组术中堵针、滞针发生率明显低于对照组，两组患者比较，差异有统计学意义（P < 0.05）。结论 胃底静脉曲张组织胶注射治疗时应用正压接头，可以降低注射时组织胶在内镜注射针中的堵针、滞针发生率，提高了治疗有效率和患者满意度。

Abstract:

Objective To explore the clinical application of the modified injection method with a positive pressure joint in treatment of gastric fundus varicose veins.Methods 66 patients with gastric fundus varicose veins were randomly divided into experimental and control groups according to the random digital table method, 33 cases in each, the tissue glue injection was performed under painless endoscopy. The control group was treated with conventional “sandwich”(polycinol + tissue glue + polycinol) endoscopic injection; The experimental group was treated with conventional “sandwich” (polycinol + tissue glue + polycinol), endoscopic injection of external needle with positive pressure joint injection. The incidence of needle blockage and needle stagnation were compared between the two groups.Results The incidence of needle blockage and needle stagnation in experimental group was significantly lower than that of control group (P < 0.05).Conclusion Positive pressure joint is applied for gastric fundus varicose tissue glue injection, it can effectively reduce the occurrence of needle stagnation and needle blockage in tissue glue during injection, increased treatment efficiency and patient satisfaction.