内镜下硬化剂联合组织胶治疗食管胃底静脉曲张破裂出血的临床疗效分析

Clinical analysis of endoscopic sclerotherapy combined with tissue glue in the treatment of esophageal and gastric variceal bleeding

目的探讨内镜下硬化剂联合组织胶治疗食管胃底静脉曲张破裂出血的临床疗效。方法选取2020年1月-2020年11月在我院进行内镜下硬化剂联合组织胶治疗食管胃底静脉曲张破裂出血患者60例为研究对象,随机均分两组,对照组30例使用内镜下硬化剂治疗,研究组30例用内镜下硬化剂联合组织胶治疗,对比两种治疗方案应用效果。结果治疗后,两组门静脉宽度、脾静脉宽度及食管静脉曲张直径水平明显低于治疗前,研究组明显低于对照组(P<0.05);研究组止血有效率和静脉曲张缓解有效率明显高于对照组(P<0.05).结论内镜下硬化剂联合组织胶治疗食管胃底静脉曲张破裂出血的临床疗效显著,能缩小门静脉宽度、脾静脉宽度及食管静脉曲张直径,提升止血有效率和静脉曲张缓解有效率。

Objective To investigate the clinical efficacy of endoscopic sclerotherapy combined with tissue glue in the treatment of esophageal and gastric variceal bleeding.Methods from January 2020 to November 2020,60 patients with esophageal and gastric variceal bleeding treated by endoscopic sclerotherapy combined with tissue glue in our hospital were selected and randomly divided into two groups,30 cases in the control group and 30 cases in the study group.Results After treatment,the portal vein width,splenic vein width and esophageal variceal diameter levels of the two groups were significantly lower than those before treatment,and the study group was significantly lower than that of the control group(P<0.05),and the effective rate of hemostasis and variceal relief in the study group was significantly higher than that of the control group(P<0.05).Conclusion The clinical efficacy of endoscopic sclerosing combined with tissue gum in the treatment of esophageal and gastric variceal bleeding is significant,which can reduce the width of portal vein,splenic v&n width and esophageal variceal diameter,and improve hemostasis efficiency and variceal relief.