钛夹与联合药物注射治疗十二指肠溃疡出血对比

Titanium clip versus titanium clip combined with drug injection in treatment of duodenal ulcer bleeding

目的:对照研究内镜下钛夹法和钛夹与药物注射联合治疗十二指肠溃疡出血的疗效。方法:将60例十二指肠溃疡伴出血患者随机分成单用钛夹组30例和联合药物组30例,分别进行内镜下钛金属夹法及联合肾上腺素注射法治疗。结果:单用钛夹组与联合药物组止血成功率分别为90.00%、96.67%,再出血率分别为7.40%、6.90%。结论:应用钛金属夹与肾上腺素注射联合治疗十二指肠球部溃疡出血优于单用钛夹治疗。

Objective： To study the clinical efficacy of endoscopic titanium clip versus titanium clip combined with drug injection in the treatment of duodenal ulcer bleeding. Methods ： 60 patients with duodenal ulcer bleeding were randomly divided into single-use of titanium clip group （ n= 30） and combined treatment group （ n=30 ） . Endoscopic titanium clip and titanium clip combined with adrenalin injection were used in the two groups,respectively. Results： The hemostatic success rates in the single-use of titanium clip group and combined treatment group were 90. 00% and 96. 67% ,respectively; the rebleeding rates were 7. 40% and 6. 90%, respectively. Conclusion： The titanium clip combined with adrenaline injection in the treatment of duodenal ulcer bleeding is superior to the single-use of titanium clip.