外科手术与内镜止血治疗急诊上消化道溃疡出血的对比研究

目的对比分析手术治疗与内镜止血治疗上消化道溃疡出血的临床疗效。方法研究急诊收治的140例患者,分为内镜组与对照组,内镜组进行内镜止血治疗,手术组进行胃大部切除术或单纯溃疡切除术。结果内镜组临床治愈61例(87.1%),并发症发生率8.6%,手术组临床治愈52例(74.3%),并发症发生率27.1%,两组患者具有明显统计学差异(P<0.05)。在大便隐血转阴时间上,内镜组为(4.5±1.5)d,手术组为(7.5±1.5)d,同样具有明显统计学差异(P<0.05)。结论急诊胃镜治疗上消化道溃疡出血疗效显著,并发症少,应在临床广泛使用。

Objective Comparison and analysis of the clinical efficacy of surgical treatment and endoscopic hemostasis treatment of upper gastrointestinal ulcer bleeding. Methods Research our emergency room treated 140 patients, divided into the endoscopic group with the control group, the endoscopic group endoscopic hemostasis therapy, surgery, gastrectomy resection or simple ulcer. Fecal occult blood clearance time, the endoscopic group （4.5~1.5） days, the surgery group （7.5~1.5） days, the same with a statistically significant difference （P〈0.05）. Results The endoscopic group clinical cure in 61 cases （87.1%）, the complication rate of 8.6%, the surgery group clinical cure in 52 cases （74.3%）, 27.1% of the incidence of complications, the two groups of patients with statistically significant differences （P〈0.05）. Conclusion Emergency endoscopytreatment of upper gastrointestinal ulcer hemorrhage significantly fewer complications, should be widely used in clinical.