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目的 探讨有关胃贲门粘膜撕裂综合征(MWS)内镜诊断问题,比较内镜治疗与传统疗法的疗效。方法 将1993 年1 月～1998 年2 月收治的30 例有活动性出血的MWS病例随机分组,对比内镜微波治疗与内镜局部用药的效果。并将上述30 例与过去传统内科治疗的18 例做回顾性对照研究。结果 止血效果内镜治疗明显优于传统治疗。内镜治疗中微波治疗组一次止血率明显高于局部用药组,两者对裂伤粘膜愈合的影响差异无显著性意义。内镜治疗未见远期并发症。结论 内镜检查是确诊MWS的重要方法,内镜微波治疗效果肯定、方法简便,恰当使用能避免外科手术
Objective To investigate the endoscopic diagnosis of gastric cardia mucosal tearing syndrome (MWS) and to compare the efficacy of endoscopic and traditional therapies. Methods Thirty cases of MWS with active hemorrhage admitted from January 1993 to February 1998 were randomly divided into two groups. The effect of endoscopic microwave treatment and endoscopic topical application were compared. The above 30 cases were compared retrospectively with 18 cases of traditional medical treatment in the past. Results The hemostatic effect of endoscopic treatment was significantly better than the traditional treatment. Endoscopic treatment of microwave treatment group was significantly higher than the local hemostasis rate of the local drug group, the two had no significant difference between the impact of laceration and mucosal healing. Endoscopic treatment without long-term complications. Conclusions Endoscopy is an important method to diagnose MWS. Endoscopic microwave treatment has a positive effect and the method is simple and convenient. Proper use can avoid surgery