明胶海绵颗粒联合弹簧圈与单纯明胶海绵颗粒栓塞治疗消化道出血的临床疗效观察

Observation of clinical effects of gelatin sponge particles combined with spring ring and simple gelatin sponge particle embolization in the treatment of acute upper gastrointestinal hemorrhage

目的观察分析明胶海绵颗粒联合弹簧圈与单纯明胶海绵颗粒栓塞治疗消化道出血的临床疗效。方法随机抽取我院自2010年6月—2014年6月期间收治的急性上消化道出血患者84例作为研究对象,两组患者均行腹腔动脉选择性栓塞治疗,按材料选择的不同,对照组42例患者选用单纯明胶海绵颗粒栓塞,观察组42例患者选用明胶海绵颗粒联合弹簧圈栓塞,术后随访3～12个月,对两组患者的临床效果进行统计对比。结果观察组有效率（95.24%）高于对照组（80.95%）,差异有统计学意义（P〈0.05）;观察组复发率（4.76%）低于对照组（16.67%）,差异有统计学意义（P〈0.05）。结论对消化道出血的治疗,选择性腹腔动脉栓塞治疗是一种安全性好、对身体损伤小的方法,通过联合多种材料进行栓塞治疗的效率高,且复发率低,值得临床推广应用。

Objective： To observe and analyze the clinical effects of gelatin sponge particles combined with spring ring and simple gelatin sponge particle embolization in the treatment of acute upper gastrointestinal hemorrhage. Methods： Eighty-four patients with acute upper gastrointestinal hemorrhage treated in our hospital from June, 2010 to June, 2014 were taken as the research objects. Two groups of patients recieved the selective embolization of celiac artery, and accord- ing to different material selection, the control group（42 patients） were given the simple gelatin sponge particles emboliza- tion while in the observation group（42 patients） were treated with the gelatin sponge particles combined with spring ring. Then, the patients were followed up for 3 ～ 12 months, and the clinical effect of the two groups was statistically compared. Results： The effective rate in the observation group of 95.24% was higher than that in the control group of 80. 95%, and the difference had statistical significance （ P 〈 0. 05 ） ; The recurrence rate in the observation group of 4.76% was lower than that in the control group of 16. 67%, and the difference had statistical significance （P 〈 0. 05）. Conclusion： The bronchial artery embolization in the treatment of selective embolization of celiac artery is a simple, safe and effective method to treat the injury of the body, and the effect is high and recurrence rate is low in the treatment by embolization combined with a variety of materials, which should be promoted in the clinical application.