透明帽辅助内镜下硬化治疗在食管静脉曲张破裂出血中的应用价值

发布时间：2018-05-12 05:26

本文选题：肝硬化 + 食道静脉曲张破裂出血　；参考：《中国内镜杂志》2015年02期

【摘要】：目的探讨透明帽辅助内镜下硬化治疗肝硬化食道静脉曲张破裂出血中的应用价值。方法 2009年6月-2012年3月该院对77例肝硬化食道静脉曲张破裂出血患者随机分组,分别采用透明帽辅助内镜下硬化治疗(CFG)和常规内镜下硬化治疗(NCF),CFG组硬化剂注射后针孔用内镜先端透明帽进行压迫,NCF组硬化剂注射后针孔用内镜镜身进行压迫。比较分析两组硬化剂治疗后压迫效果,6周后食管溃疡发生率、出血发生率和静脉曲张消失率。结果 CFG组压迫后再出血的发生率较NCG组明显减少;虽然6周后两组食管溃疡发生率差异无显著性,但CFG组食管深溃疡的发生率明显减少,6周后再出血的发生率也较NCF组较少;静脉曲张消失率差异无显著性。结论透明帽辅助内镜下硬化治疗食道静脉曲张破裂出血,保持视野清晰,起到固定靶静脉,注射后压迫方便,明显减少压迫后再出血率,较少术后深溃疡形成,再出血的发生率,该方法值得临床借鉴。
[Abstract]:Objective to explore the value of transparent cap assisted endoscopic sclerotherapy in the treatment of hepatic cirrhosis esophageal variceal bleeding. Methods in March -2012 June 2009, 77 patients with cirrhosis of the esophagus variceal bleeding were randomly divided into two groups, using the transparent cap assisted endoscopic sclerotherapy (CFG) and routine endoscopic sclerotherapy (NCF), CF After injection of the G sclerosing agent, the pinholes were oppressed with the endoscopy cap of the endoscopy, and the needle holes were oppressed by the endoscope after the injection of the NCF sclerosing agent. The compression effect of the two groups of scleroses after treatment was compared. The incidence of esophageal ulcers, the incidence of bleeding and the vanishing rate of varicose veins after 6 weeks were compared. Results the incidence of rebleeding in the CFG group was more obvious than that of the NCG group. Although there was no significant difference in the incidence of esophageal ulcers in the two groups after 6 weeks, the incidence of deep esophageal ulcers in the CFG group was significantly reduced, and the incidence of rebleeding after 6 weeks was less than that in the NCF group, and there was no significant difference in the vanishing rate of varicose veins. To the fixed target vein, it is convenient to oppress after injection, obviously reduce the rate of rebleeding after oppression, less deep ulcer formation, and the incidence of rebleeding. This method is worthy of clinical reference.

【作者单位】：杭州师范大学附属医院消化内科;
【分类号】：R575.2

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