食管贲门黏膜撕裂综合征的诊断和治疗

The diagnosis and treatment of Mallory-Weiss syndrome

目的探讨食管贲门黏膜撕裂综合征的诊断和治疗。方法将2000年至2006年我院确诊的58例食管贲门黏膜撕裂综合征患者随机分为两组,对比分析内镜下治疗加内科保守治疗和单纯内科保守治疗的治疗效果。结果全部病例经内科保守治疗和内镜下治疗而痊愈,内镜下治疗加内科保守治疗组可明显减少患者呕血、黑便及住院时间,降低费用,一次性止血率和黏膜愈合率明显高于内科保守治疗组,两者具有统计学意义。结论食管贲门黏膜撕裂综合征为消化内科急症,胃内或腹内压力骤然升高是引起食管贲门黏膜撕裂综合征的最根本原因,呕吐后呕血、黑便为主要症状,早期胃镜检查为确诊的重要方法,早期内科保守治疗和胃镜下治疗是可治愈的。

Objective To explore the diagnosis and treatment of Mallory - Weiss syndrome. Methods From Jan. 2000 to Dec. 2006,58 patients being in our hospital with Mallory - Weiss syndrome were divided randomly into two groups . To contrast analysis the treatment results after the endoscope adding the internal medicine conservative treatment and the pure internal medicine conservative treatment. Results The complete cases of illness were cure after the endoscope adding the internal medicine conservative treatment and the pure internal medicine conservative treatment, the endoscope adding the internal medicine conservative treatment group obviously reduced the patients to spit up blood, to be black stool, to be hospitalized time and to reduced the expense,disposable stopping bleeding rate and mucous membrane healing rate obviously were higher than the internal medicine conservative treatment group. It had statistics significance between the two groups. Conclusion Mallory - Weiss syndrome were for the acute disease of the digestion internal medicine department, the pressure of the stomach or the endo - abdominal suddenly elevates is the most basic reason that causes Mallory -Weiss syndrome, the vomits blood and black stool is the main symptom. The early time gastroscopy diagnoses is the important method, It may cure after the early internal medicine conservative treatment and the gastroscope treatment.