组织胶注射治疗胃静脉曲张出血

王锦萍　 黄雄庆　 李初俊　 张定国　 陈?湖　 崔毅　

摘　要：中山大学附属第六医院消化内镜中心李初俊

[目的]探讨内镜下组织胶注射治疗胃静脉曲张出血的有效性和安全性.

[方法]32例经临床及内镜确诊有上消化道出血或曾有出血史的胃静脉曲张病例,男25例,女7倒,年龄5～72岁(平均51.2岁),进行组织胶注射治疗.

[结果]32例病人接受共41例次组织胶注射术,5例活动性出血注射后即刻止血,18例术后复查胃镜,胃静脉曲张消失7例(39%),近期(6周)再出血7例次(17%),注射处溃疡2例,肺栓塞1例.

[结论]组织胶注射治疗胃静脉曲张出血具有止血效果确切,针眼无渗血的优点,可作为胃静脉曲张活动性出血的首选的内镜治疗方法.

关键词：组织胶;胃静脉曲张

---中山大学学报(医学科学版)
JOURNAL OF SUN YAT-SEN UNIVERSITY(MEDICAL SCIENCES)
2006 Vol.27 No.z2 P.195-196

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