内镜外套管在辅助急诊内镜治疗食管胃静脉曲张出血中的作用研究

Wrapper tube assisted emergency endoscopy for gastro-esophageal variceal hemorrhage

目的 探讨内镜外套管在辅助急诊内镜治疗食管胃静脉曲张破裂出血中的作用.方法 选择临床诊断为肝硬化门静脉高压食管胃静脉曲张破裂出血患者62例作为治疗组,采用外套管辅助急诊内镜注射硬化剂治疗.另选择同期行常规急诊内镜治疗的62例食管胃静脉曲张破裂出血患者作对照组,比较两组治疗效果.结果 治疗组62例患者在行急诊内镜止血中先用外套管压迫止血均获成功,止血效率为100%,显著高于对照组的80.65%（P＜0.05） 治疗组食管胃静脉曲张注射后消失率为59.32%显著高于对照组7.27%（P＜0.05）.胸痛和食管溃疡、总住院天数、总医疗费用,治疗组显著低于对照组（P＜0.05）.结论 应用外套管辅助急诊内镜注射硬化剂治疗食管胃静脉曲张出血可提高治疗效率,减少患者负担.

Objective To evaluate the wrapper tube in emergency endoscopy for gastro-esophageal variceal hemorrhage. Methods A total of 62 patients diagnosed as having gastro-esophageal variceal bleeding were enrolled as the treatment group to accept wrapper tube assisted emergency endoscopic sclerotherapy. The therapeutic effect was compared with another group of 62 patients who also had gastro-esophageal variceal hemorrhage while treated by conventional emergency endoscopic sclerotherapy （control group）. Results The rate of hemostasis with wrapper tube was 100%, which was significantly higher than that of the control group （80. 65%, P 〈0. 05）. The rate of gastro-esophageal varices remission after sclerotherapy in treatment group was 59.32%, which was also significantly higher than that of the control group （7. 25%, P 〈 0. 05 ）. The rates of chest pain, esophageal ulcer, length of hospitalization, and total medical cost in treatment group were significantly lower than those of control group （ P 〈 0. 05 ）. Conclusion Wrapper tube in emergency endoscopy for gastro-esophageal varices bleeding can improve therapeutic effect and relieve patients＇ economic burden.