摘要
目的探讨EST术后使用止血夹进行预防性止血的作用。方法185例ERCP+EST术患者随机分为两组,一组给予常规药物治疗(95例),另一组为常规药物加止血夹预防性止血治疗(90例),比较两组间的出血率有无差异。结果常规药物组出血3例,出血率3．2%；止血夹组出血0例,出血率0%,两组间出血率比较,差异有统计学意义(P＜0．05)。常规药物组3例出血患者均经内镜止血夹止血成功。结论预防性使用止血夹能明显减少EST术后出血并发症的发生率,EST术后应尽量预防性使用止血夹。
Objective To study on the metal clip installation to avoid post-operative bleeding in patients accepted papilla sphinetecotomy. Methods One hundred and eighty five patients who accepted ERCP ＋ EST were divided into two groups ： Group 1 was given routine regimen alone （ N = 95 ） , group 2, given routine regimen and metal clip to prevent post-operative bleeding. Results The postoperative bleeding happened in 3 （ 3.2% ） cases of Group 1 and none in Group 2, there is significant difference between these two groups （ P 〈 0. 05）. The breeding cases in group I were controlled by metal clip under endoscopy successfully. Condusion Preventive usage of metal clip was significantly decreased the incidence of post-operative bleeding in EST patients.
出处
《中华消化内镜杂志》
2006年第3期183-185,共3页
Chinese Journal of Digestive Endoscopy
关键词
括约肌切开术
内镜
出血
预防
止血夹
Endoscopic sphincterotomy
Bleeding
Prevention
Metal clip
