摘要
目的评价经内镜皮圈套扎治疗Dieulafoy病变出血的疗效及安全性。方法对28例Dieulafoy病变出血患者采用内镜下皮圈套扎治疗,其中17例病灶位于胃,8例位于胃肠吻合口,3例位于十二指肠球部。选用多连发套扎设备,通过负压抽吸,使Dieulafoy病变及其周围组织吸入套扎帽内,然后释放弹力皮圈将其结扎。结果套扎组织在内镜治疗后3～7d内脱落;早期止血率92.9%,活动性出血止血率100%,再出血率7.1%,转外科手术率0%,并发症发生率3.6%。随访4～68个月,平均33个月,长期止血率99.5%。结论经内镜皮圈套扎是治疗Dieulafoy病变出血的一种安全和有效的方法。
[Objective] To evaluate the efficacy and safety of endoscopic band ligation in the treatment of Dieulafoy＇s lesion hemorrhage. [Methods] Twenty -eight patients with Dieulafoy＇s lesion hemorrhage were selected to undergo endoscopic band ligafion. Dieulafoy＇s lesions in 17 patients were located at stomach, 8 at gastrointestinal stoma, 3 at duodenal bulb. The multishot ligation device was used in EBL group. Suction was applied, drawing the Dieulafoy＇s lesion and the surrounding mucosa into the lumen d the ligator, and preloaded elastic band was fired and the Dieulafoy＇s lesion was ligated by the elastic band. [Result] The ligatecl tissue exfoliated from three days to seven days after EBL; The rates of initial hemostasis was 92.9%, the rate of controlling active bleeding 100%, the rate of recurrent bleeding 7.1%, the rate of transfer into surgery 0%, and the rate of complications 3.6%. The following up ranged from 4 to 64 months, averaging 30 months, and the rate of permanent hemostasis was 99.5%. [Conclusion] Endoscopic band ligation is an effective and safe endoscopic treatment for Dieulafoy＇s, lesion hemorrhage.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第5期538-540,共3页
China Journal of Endoscopy
