【摘要】 目的观察内镜下金属钛夹联合黏膜注射治疗消化道溃疡出血的效果。方法 126例消化道溃疡出血患者随机分为对照组和观察组,分别采用内镜下黏膜注射肾上腺素或联合金属钛夹治疗,比较两组即时止血率及1周内再出血率。结果观察组与对照组即时止血率差异无统计学意义(92.1% vs 87.3%,P>0.05),观察组1周内再出血明显低于对照组(1.6% vs 12.7%,P<0.05),总有效率明显高于对照组(90.4% vs 76.2%,P<0.05)。结论内镜下金属钛夹联合黏膜注射治疗消化道溃疡病出血可显著降低再出血率。更多还原

【Abstract】 Objective To observe the therapeutic efficacy of endoscopic titanium clip and mucosal injection for peptic ulcer bleeding. Methods A total of 126 patients with peptic ulcer bleeding were randomized to control and observation groups, and respectively treated with endoscopic mucosal injection of adrenaline or mucosal injection plus titanium clip. Immediate hemostasis and 1-week rebleeding rates were compared between two groups. Results Immediate hemostasis rate was comparable between two groups(92.1% vs 87.3%, P>0.05). Compared with control group, 1-week rebleeding rate was decreased(1.6% vs 12.7%, P<0.05) but overall efficacy rate increased(90.4% vs 76.2%, P<0.05) in observation group. Conclusion The endoscopic titanium clip and mucosal injection can obviously reduce the rebleeding rate in patients with peptic ulcer bleeding.更多还原