Kurygin A A, Baranchuk V N, Manyshev V G
Khirurgiia (Mosk). 1991 Sep(9):63-6.
The work analyses the results of treatment of 111 patients with the Mallory-Weiss syndrome by endoscopic diathermocoagulation. It proved ineffective from the very beginning in 11 (9.9%) cases, in another 23 (20.7%) patients hemorrhage recurred in the immediate 4 days but in one third of them its source was another disease. The follow-up of 77 patients revealed recurrence of the disease in the late-term period (from 12 months to 9 years) after diathermocoagulation in 12 (15.6%), but only 2 of them had to be operated on. The operative mortality was 17%, but when surgery was combined with diathermocoagulation the mortality rate was 4.5%.
该研究分析了111例马洛里-魏斯综合征患者接受内镜透热凝固治疗的结果。一开始，11例（9.9%）患者治疗无效；另有23例（20.7%）患者在术后4天内再次出血，但其中三分之一患者出血源为其他疾病。对77例患者的随访发现，透热凝固治疗后晚期（12个月至9年）疾病复发率为12例（15.6%），但其中仅2例需要手术治疗。手术死亡率为17%，但手术联合透热凝固治疗时死亡率为4.5%。
