内镜下注射DTH栓塞胶治疗食管胃静脉曲张出血

Endoscopic Injection of DTH Tisse Glue to Treat Esophahogastric Varicers and its Bleeding

目的：探讨内镜注射国产组织粘合剂DTH胶治疗食管静脉曲张出血的临床应用价值。方法：对25例食管胃静脉曲张出血病人，采用碘化油-DTH胶-碘化油“三明治”状分层推注法注射DTH胶1～1．5ml，术后1个月以上复查2次，了解其止血有效率及静脉曲张消失率。结果：25例患者共注射38次，活动性出血即时止血成功率100％。其中l例术后d2因原发严重肝衰竭伴弥漫性血管内凝血广泛消化道渗血死亡。24例完成治疗，随访静脉曲张消失率45．8％（11／24）。结论：内镜下注射组织粘合剂D-TH栓塞胶治疗食管胃静脉曲张出血，止血成功率及静脉曲张消失率高，降低了大出血病死率及再出血率。碘化油-KTH-碘化油注射法相对较安全，副作用小，值得临床推广泛应用。

Objective： To evaluate the esophahogastric varicers and its bleeding. clinical value of DTH tisse glue under the endoscopy in treating Method： Twenty - five cases of esophahogastric varicers and bleeding were treated with DTH tisse glue （ 1 - 1.5ml ） - lipiodol fluid. After one month to check, observe its bleeding checked rate and varicers removed rate. Result： Twenty - five cases have 38 needles of injec- tion, movable bleeding immediately checked rate 100%, one case death after second day with serious liver function failure to digestive duct extensive bleeding. Twenty -four cases have complicated treatment and af- terwards checked varicers removed rate 45.8% （11/24）. Conclusion： Endoscopic injection of DTH tisse glue to treat esophahogastric varicers and its bleeding, bleeding checked rate and varicers removed rate is high, it reduce the rate of bleeding death and recently rebleeding. DTH tise glue -lipiodol injective treat- ment is high safe and low side effect.