胃镜下金属夹联合黏膜内注射治疗Dieulafoy病38例临床疗效分析

摘要

Objective: To explore the metal clip joint signicant bleeding adrenaline liquid local mucous membrane injections Dieulafoy disease caused by the clinical effect of upper gastrointestinal bleeding.Methods: Adopt PANTAX 3,500 electronic gastroscope, one-time inject needle and Olympus metal clamps (HX-600-assert) and delivery device (HX-5LR-1 type), for 38 patients Dieulafoy patients hemostatic.Results: 36 in gastroscope under success, hemostatic success rate of bleeding 95％ (36/38), did not happen perforation of serious complications, more than 2 cases turn surgical treatment.Conclusion: Metal clip clamps hemostatic joint adrenaline liquid local mucous membrane injections Dieulafoy disease bleeding is a safe, effective and minimally invasive treatment.%目的:探讨胃镜下金属夹止血联合肾上腺素液局部黏膜注射治疗Dieulafoy病所致上消化道出血的临床效果.方法:均采用PANTAX 3500电子胃镜、一次性注射针和Olympus金属夹(HX-600-090)及推送器(HX-5LR-1型)对38例Dieulafoy病患者止血.结果:36例在胃镜下止血成功,成功率为95%(36/38),未发生穿孔等严重并发症,2例转外科手术治疗.结论:金属夹钳夹止血联合肾上腺素液局部黏膜注射治疗Dieulafoy病出血是安全、有效、微创的治疗方法.