OTSC金属夹治疗难治性急性非静脉曲张性上消化道出血的效果评估

发布时间：2019-02-13 21:24

【摘要】：目的探讨内镜下OTSC金属夹闭合术在难治性急性非静脉曲张性上消化道出血(ANVUGIB)治疗中的疗效。方法对滨州医学院附属医院消化内科2015年1月1日-2016年6月1日通过OTSC金属夹治疗的16例难治性ANVUGIB的患者进行回顾性分析。其中贲门黏膜撕裂并出血2例,胃溃疡出血7例,胃癌1例,十二指肠球部溃疡出血6例。结果 16例患者均成功的进行了内镜下止血,成功率100.0%,止血夹自安装至释放成功平均所需时间仅为5.0~6.0 min。结论 OTSC在难治性ANVUGIB患者中的治疗安全、有效,值得临床推广。
[Abstract]:Objective to evaluate the efficacy of endoscopic OTSC metal clip closure in the treatment of refractory acute non-varicose upper gastrointestinal hemorrhage with (ANVUGIB). Methods Sixteen patients with refractory ANVUGIB treated by OTSC metal clip from January 1, 2015 to June 1, 2016 in Department of Digestive Medicine, affiliated Hospital of Binzhou Medical College, were retrospectively analyzed. There were 2 cases of gastric cardia mucosal tear with bleeding, 7 cases of gastric ulcer bleeding, 1 case of gastric cancer, 6 cases of duodenal ulcer bleeding. Results all the 16 patients were successfully treated with endoscopic hemostasis, the success rate was 100.0.The average time between the installation of the hemostatic clip and the successful release was only 5.0 min.. Conclusion the treatment of OTSC in refractory ANVUGIB patients is safe, effective and worthy of clinical promotion.
【作者单位】： 滨州医学院附属医院消化内科;
【分类号】：R573.2
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本文编号：2421899