广州医药 ›› 2015, Vol. 46 ›› Issue (6): 36-37.DOI: 10.3969/j.issn.1000-8535.2015.06.011

• 论著 • 上一篇    下一篇

内镜下氩离子凝固术治疗胃出血的临床报告

王平和   

  1. 广东省东莞市清溪医院 (东莞 523660)
  • 收稿日期:2015-08-11 发布日期:2021-11-30

Clinical report of endoscopic argon plasma coagulation treatment of stomach bleeding

Wang Pinhe   

  1. Dongguan Qingxi Hospital. Dongguan 523660,China
  • Received:2015-08-11 Published:2021-11-30

摘要: 目的 回顾性分析采用内镜下氩离子凝固术治疗胃出血的治疗效果,为临床治疗胃出血提供经验及理论基础。方法 选取2010年1月—2014年7月我院收治的胃出血患者199例,随机分为两组,分别对其进行内镜下氩离子凝固术治疗和内镜下高频电凝治疗,总结对比其治疗效果,并对其并发症情况进行统计。结果 经治疗后,A组28例胃黏膜溃烂出血患者未再出血27例(96.43%),E组22例胃黏膜溃烂出血患者未再出血例数17例(77.27%),差异有统计学意义(P<0.05);A组治疗后形成局部炎性肉芽肿及发生胃穿孔的百分比低于E组,差异有统计学意义(P<0.05)。结论 采用内镜下氩离子凝固术治疗胃出血,止血率高,并发症发生率低,效果良好,值得在临床中推广使用。

关键词: 内镜, 氩离子凝固术, 胃出血

Abstract: Objective A retrospective analysis was performed using endoscopic argon plasma coagulation treatment of stomach bleeding, to provide experience and theoretical basis for the clinical treatment of stomach bleeding. Methods January 2010-July 2014 199 cases of bleeding in patients admitted to our hospital.They were randomly divided into two groups and had therapeutic endoscopic argon plasma coagulation. We summarized the treatment effect and its complications statistics. Results After therapy, 27 gastric mucosa fester patients(96.43%) of 28 patients in group A stopped bleeding and 17 gastric mucosa fester patients(77.27%) of 22 patients in group B stopped bleeding and the difference is statistical significance(P<0.05), and the incidence rate of inflammatory granuloma and gastric perforation of group A is significant lower than that of group B (P<0.05). Conclusion Endoscopic argon plasma coagulation therapy is taken to treat gastrorrhagia, hemostasis rate is higher and complication rate is lower. It is worth widely using in the clinic.

Key words: Endoscopy, Argon plasma coagulation, Stomach bleeding