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目的:射频技术辅助治疗上消化道出血,临床报道少见,本研究目的在于探讨射频治疗非静脉曲张上消化道出血的疗效.方法:对31例因消化道肿瘤、消化性溃疡、血管畸形及经内镜黏膜下肿物切除引起的急性上消化道出血患者,经内镜应用国产射频治疗仪对出血处黏膜表面给予射频治疗,治疗后内镜下观察5min,7d后复查胃镜,无再出血为有效,24h内再出血为无效.结果:31例上消化道出血患者治疗后止血有效率为93.55%(29/31),2例24h内发生再出血,无1例出现严重并发症.结论:射频治疗非静脉曲张上消化道出血的方法具有止血迅速、安全性高的特点.射频技术目前已广泛应用于消化道息肉、上消化道肿瘤、肝癌等的治疗,而作为非静脉曲张的上消化道出血的辅助治疗手段,却少有报道.本院自1999-10/2001-07,采用射频治疗仪治疗各种类型上消化道出血患者31例,取得了满意的治疗效果,现报告如下:
Objective: RFA-assisted treatment of upper gastrointestinal bleeding, clinical reports are rare, the purpose of this study is to explore the treatment of non-varices upper gastrointestinal bleeding with radiofrequency.Methods: 31 cases of gastrointestinal cancer, peptic ulcer, vascular malformation and Endoscopic submucosal removal of patients with acute upper gastrointestinal bleeding caused by endoscopic application of radio frequency therapeutic apparatus on the surface of mucosal hemorrhage given radiofrequency treatment, after treatment, endoscopic observation 5min, 7d after the review of gastroscopy, no rebleeding Effective within 24 hours of rebleeding was invalid.Results: The effective rate of hemostasis was 93.55% (29/31) in 31 patients with upper gastrointestinal bleeding, 2 cases of rebleeding within 24h, no serious complications were observed.Conclusion: Radio frequency treatment of non-variceal upper gastrointestinal bleeding with rapid hemostasis, high safety features.RF technology has been widely used in the treatment of gastrointestinal polyps, upper gastrointestinal cancer, liver cancer, and as non-varices digestion Hemorrhagic adjuvant therapy, but rarely reported .Hospital from 1999-10 / 2001-07, the use of radio frequency therapy apparatus for the treatment of various types of upper gastrointestinal bleeding in 31 patients, and achieved satisfactory results , The report is as follows: