介入栓塞治疗胃Dieulafoy病疗效

Interventional embolization in treatment of gastric Dieulafoy disease

目的 探讨介入栓塞治疗胃Dieulafoy病的临床效果.方法 将64例胃Dieulafoy病患者随机分为观察组和对照组,各32例.对照组行内镜下金属钛夹止血、电凝止血、药物注射止血等治疗及内科保守治疗,观察组使用放射介入动脉栓塞治疗.观察两组止血治疗效果.结果 观察组32例患者中,29例完全止血,2例部分止血,1例止血无效转外科行胃次全切除后痊愈,其总有效率为96.88％;对照组32例患者中,20例完全止血,4例部分止血,8例止血无效转外科行胃次全切除后痊愈,其总有效率为75.00％;观察组总有效率明显高于对照组（P〈0.01）.观察组无再发出血（0.00％）,对照组再发出血2例（6.25％）.结论 介入栓塞治疗胃Dieulafoy病疗效确切、创伤少、恢复快、并发症少、可重复性强,值得在临床推广.

Objective To investigate the clinical effect of interventional embolization in the treatment of gastric Dieulafoy disease.Methods 64 cases of gastric Dieulafoy disease were randomly divided into an observation group and a control group, 32 for each group.The control group were treated with endoscopic metal titanium clip hemostasis, electric coagulation, drug injection, hemostasis, etc., while the observation group were treated with interventional therapy.The effect of hemostasis was observed in both groups.Results 29 had complete hemostasis, 2 not complete, and 1 case was treated by surgery for the removal of the bleeding after subtotal thyroidectomy in the observation group, with a total effective rate of 96.88%.20 had complete hemostasis, 4 partial, and 8 were treated by surgery for the removal of the bleeding after subtotal thyroidectomy in the control group, with a total effective rate of 75.00%.The total effective rate of the observation group was significantly higher than that of the control group （P〈0.01）.No recurrence of bleeding was observed in the observation group （0.00%） and 2（6.25%） in the control group.Conclusions Interventional embolization for gastric Dieulafoy disease is effective and less traumatic,makes the patients recover fast, has fewer complications, and can be repeated.It is worth being clinically generalized.