内镜下荷包缝合术在消化性溃疡并出血中的临床应用
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东莞东华医院消化内科,东莞东华医院消化内科,东莞东华医院血液净化科,中山大学附属第五医院消化内科,东莞东华医院消化内科,东莞东华医院消化内科,东莞东华医院消化内科

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Clinical application of purse-string suture on the treatment of patients with peptic ulcer bleeding
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Dongguan Tung Wah Hospital,,,,,,

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    摘要:

    目的评价内镜下荷包缝合术治疗消化性溃疡并出血的疗效和安全性。方法2016年1月至2017年1月间,因消化性溃疡并出血在中山大学附属东华医院行内镜下和谐夹联合尼龙绳荷包缝合止血的42例病例纳入回顾性分析,统计即时止血率、有效止血率、外科周转率以及术后2周内的再发出血和死亡情况。结果有20例术中存在活动性出血,19例即时止血成功,失败的1例为胃大切术后吻合口溃疡。总体有效止血率达97.6%(41/42),外科周转率仅2.4%(1/42)。41例内镜止血患者,术后生命体征平稳,无发热、呕血、黑便等,2周内无一例再发出血,亦无一例死亡。术后1个月复查胃镜,溃疡愈合良好。结论内镜下和谐夹联合尼龙绳荷包缝合术用于消化性溃疡并出血的止血治疗安全、有效。

    Abstract:

    ObjectiveTo study the clinical efficacy and safety of purse-string suture on the treatment of peptic ulcer bleeding. MethodsData of 42 patients with peptic ulcer bleeding treated by purse-string suture with hexiejia combined with endoloop in Dongguan Tung Wah Hospital from January 2016 to January 2017 were retrospectively analyzed. The immediate hemostasis rate, effective hemostasis rate, additional surgery rate, recurrence rate in two weeks and mortality were analyzed. ResultsAmong 20 cases with active bleeding during operation, 19 were immediately arrested, and 1 case of failure was diagnosed as marginal ulcer after gastric resection. The overall effective hemostasis rate was 97.6% (41/42), additional surgery rate was only 2.4% (1/42). The vital signs of 41 patients with successful endoscopic hemostasis were stable after operation, and no fever, hematemesis, black stool or other symptoms occurred. No recurrence of bleeding or death occurred within two weeks. The ulcers were healed well in follow-up of one month. ConclusionEndoscopic purse-string suture is a safe and feasible method for treatment of patients with peptic ulcer bleeding.

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江堤,廖素环,邓惠钊,等.内镜下荷包缝合术在消化性溃疡并出血中的临床应用[J].中华消化内镜杂志,2018,35(6):415-418.

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  • 收稿日期:2017-05-04
  • 最后修改日期:2018-05-08
  • 录用日期:2017-07-24
  • 在线发布日期: 2018-06-19
  • 出版日期: 2018-06-20
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