钛夹夹闭与套扎术在Mallory-Weiss综合征不同裂伤形态时疗效比较

发布时间：2018-05-18 15:09

  本文选题：食管-贲门黏膜撕裂综合征 + 止血　； 参考：《中国临床研究》2016年12期

【摘要】：目的 对比钛夹夹闭(EHP)与套扎术(EBL)在Malloy-Weiss综合征(MWS)不同撕裂伤形态下临床疗效的差异。方法 回顾分析腔镜中心2012年1月至2015年12月行胃镜治疗的27例MWS患者,其中行EHP治疗13例(EHP组),行EBL治疗14例(EBL组)。比较不同裂伤情况下两组患者胃镜操作时间及住院时间。结果 EHP和EBL组内镜操作时间Ⅰ级撕裂时为(17.5±3.9)min和(21.1±5.1)min,两组比较差异有统计学意义(P0.05);Ⅱ级时分别为(13.1±3.2)min和(16.8±4.9)min,两组比较差异有统计学意义(P0.05);Ⅲ级时为(9.4±0.8)min和(9.4±1.2)min,两组比较差异无统计学意义(P0.05)。所有患者均一次内镜治疗后彻底止血,同级条件下两组患者住院时间无明显差异(P均0.05)。结论 在各级裂伤形态下,EHP组内镜操作时间相对较短,且止血风险小,故更适合MWS患者治疗。
[Abstract]:Objective to compare the clinical efficacy of titanium clip clamping (EHP) and ligation (EBL) in Malloy-Weiss syndrome (MWS) with different laceration patterns. Methods from January 2012 to December 2015, 27 patients with MWS treated by endoscopy were retrospectively analyzed. Among them, 13 cases were treated with EHP and 14 cases were treated with EBL. The operating time and hospitalization time of gastroscope were compared between the two groups under different laceration conditions. Results the endoscopic operating time of EHP and EBL was 17.5 卤3.9)min and 21.1 卤5.1 min respectively, there was significant difference between the two groups (P 0.05), the second grade was 13.1 卤3.2)min and 16.8 卤4.9 min, the difference between the two groups was statistically significant (P 0.05), and in grade 鈪，

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