几种内镜下止血措施在非静脉曲张性上消化道出血中的选择

Selection of several endoscopic hemostasis measures in non variceal upper gastrointestinal bleeding

目的:探讨几种内镜下止血措施在非静脉曲张性上消化道出血中的疗效差异。方法:收治非静脉曲张性上消化道出血患者60例,随机分A组、B组、C组和D组,内镜止血方法分别为注射药物、氩离子凝固术、血管夹、注射药物+内镜下氩离子凝固止血。分析非静脉曲张性上消化道出血病因、改良Forrest分级及每种不同止血方式的止血疗效。结果:本次60例患者中以十二指肠溃疡最多见(51.7%),其次为胃溃疡(25.0%)。4组即时止血率与再出血率比较,差异无统计学意义(P>0.05)。结论:注射药物、氩离子凝固术、血管夹、注射药物+内镜下氩离子凝固止血治疗非静脉曲张性上消化道出血疗效相近,止血效果好。

Objective:To investigate the efficacy of several endoscopic hemostasis measures in non variceal upper gastrointestinal bleeding.Methods:60cases of non variceal upper gastrointestinal bleeding were selected.The patients were randomly divided into the group A,the group B,the group C and the group D.Each group of endoscopic hemostasis methods were injection drug,argon plasma coagulation,vascular clamp,injection of drugs combined with argon coagulation coagulation under endoscope.We analyzed the etiology of non variceal upper gastrointestinal bleeding,the modified forrest classification and the hemostatic effect of each different hemostatic modality.Results:Among the60patients,duodenal ulcer was the most common(51.7%),followed by gastric ulcer(25.0%).There was no difference in the immediate hemostasis rate and rebleeding rate in the4groups(P>0.05).Conclusion:The effect of injection of drugs,argon ion coagulation,vascular clamp,injection drug combined with endoscopic argon ion coagulation to hemostasis is similar in the treatment of non-variceal upper gastrointestinal bleeding,and the effect of hemostasis is good.