Clinical efficacy of modified lauromacrogol tissue glue sandwich injection combined with esophageal variceal ligation in treatment of esophagogastric varices
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摘要: 目的 评价改良聚桂醇组织胶"三明治"注射联合套扎治疗食管胃底静脉曲张的疗效及安全性。 方法 选择2016年1月-2017年12月的82例住院患者作为研究对象,2016年1-12月入院患者被归为对照组,2017年1-12月入院患者被归为观察组,每组41例。观察组采用改良聚桂醇组织胶"三明治"注射联合套扎治疗方法,对照组采用组织胶联合套扎治疗方法,治疗后观察2组患者再出血、食管胃底静脉曲张改善情况以及并发症等,数据采用SPSS 21.0统计软件进行统计分析。 结果 治疗后,观察组的止血成功率(97.56%)比对照组(80.49%)高,差异有统计学意义(χ2=4.493,P=0.034),观察组和对照组患者早期再出血率(2.44% vs. 7.32%)比较差异无统计学意义(P>0.05),迟发性再出血率差异无统计学意义(P>0.05),并且2组食管静脉曲张及胃底静脉曲张的疗效比较,差异无统计学意义(P>0.05),术后发热、胸骨后疼痛或不适及合计并发症发病率差异无统计学意义(均P>0.05)。 结论 改良聚桂醇组织胶"三明治"注射联合套扎方法是治疗食管胃底静脉曲张的一种相对简单、安全和有效的方法,具有一定的优势,更长期的疗效及安全性有待进一步多中心的随机对照临床实验及延长调查周期进行评估。
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关键词:
- 内镜下静脉曲张套扎术 /
- 组织胶栓塞术 /
- 食管胃底静脉曲张
Abstract: Objective To evaluate the clinical efficacy and safety of modified lauromacrogol tissue glue sandwich injection combined with esophageal varices ligation in treatment of esophagogastric varices. Methods From January, 2016 to December, 2017, 82 inpatients were enrolled in the study. 41 patients were classified as the control group from January, 2016 to December, 2016, while other 41 cases were classified as the observation group from January, 2017 to December, 2017. The observation group received the modified lauromacrogol tissue glue sandwich injection combined with esophageal varices ligation, while the control group was treated by tissue glue sandwich injection combined with esophageal varices ligation. The rate of re-bleeding, improvement of esophagogastric varices and complications were observed after the treatment. The data were analyzed by suing SPSS 21.0 statistical software. Results After the treatment, the hemostatic success rate of the observation group was higher than that in the control group, with statistical significance (χ2=4.493, P=0.034). There was no significant difference in the early re-bleeding rate (P>0.05) and in the rate of delayed re-bleeding (P>0.05). There was no statistical difference in esophageal varices and gastric fundus vein varices between the two groups (P>0.05); there was no statistical difference in the postoperative fever, post sternal pain or discomfort and the total incidence of complications between the two groups (P>0.05). Conclusion Modified lauromacrogol tissue glue sandwich injection combined with esophageal varices ligation is a relatively simple, safe and effective method for esophagogastric varicose, with some advantages. The longer term efficacy and safety need to be further evaluated by multicentre randomized controlled clinical trials and lengthening the survey cycle.
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