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目的:探讨经内镜注射组织粘合剂治疗胃底静脉曲张出血的临床价值。方法:对2005年6月—2009年6月68例胃底静脉曲张及破裂出血采用内镜下注射组织粘合剂治疗的患者临床资料进行回顾分析。结果:68例患者经注射治疗后66例出血停止,止血率98.5%,曲张静脉消失率57.6%,减轻率37.9%,再出血率为6.1%。结论:经内镜注射组织粘合剂治疗胃底静脉曲张出血是一种安全、有效的方法,可作为首选方法在临床上推广应用。
Objective: To investigate the clinical value of endoscopic injection of tissue adhesive in the treatment of gastric variceal hemorrhage. Methods: The clinical data of 68 patients with gastric varices and rupture hemorrhage treated with endoscopic injection of tissue adhesive were retrospectively analyzed from June 2005 to June 2009. Results: Sixty-six patients died of bleeding after injection. The rate of hemostasis was 98.5%, the rate of varicose vein disappearance was 57.6%, the rate of relief was 37.9% and the rate of rebleeding was 6.1%. Conclusion: Endoscopic injection of tissue adhesive for the treatment of gastric variceal bleeding is a safe and effective method, which can be used as the preferred method in clinical practice.