热探头热凝术与多极电凝术治疗消化性溃疡出血。一项前瞻性随机对照试验。
Heater probe thermocoagulation and multipolar electrocoagulation for arrest of peptic ulcer bleeding. A prospective, randomized comparative trial.
作者信息
Lin H J, Wang K, Perng C L, Lee C H, Lee S D
机构信息
Department of Medicine, Veterans General Hospital-Taipei, Taiwan, Republic of China.
出版信息
J Clin Gastroenterol. 1995 Sep;21(2):99-102. doi: 10.1097/00004836-199509000-00007.
Both heater probe thermocoagulation (HPT) and multipolar electrocoagulation (MPEC) are promising techniques to control peptic ulcer bleeding. However, their hemostatic effects are still not proven conclusively in controlled trials. Here we have tried to do that. Patients with a bleeding ulcer or a nonbleeding visible vessel at the ulcer base received either HPT or MPEC randomly. We compared hemostatic rates, rebleeding rates, hospital stay, volume of blood transfusion, number of operations, and mortality between both groups. A total of 80 patients entered this trial. Patients of both groups had similar ultimate hemostatic rates (HPT 92.5%, MPEC 85%), days in hospital (HPT 5.4, MPEC 5.0), volume of blood transfusion (mean values: HPT 1,774 ml, MPEC 1,974 ml), number of operations (HPT 3, MPEC 3), and mortality (HPT 2, MPEC 3). Both therapeutic approaches are safe and effective for peptic ulcer bleeding.
热探头凝固术（HPT）和多极电凝术（MPEC）都是控制消化性溃疡出血的有前景的技术。然而，在对照试验中它们的止血效果仍未得到最终证实。在此我们试图进行这样的研究。溃疡出血或溃疡底部有可见非出血血管的患者被随机分为接受HPT组或MPEC组。我们比较了两组之间的止血率、再出血率、住院时间、输血量、手术次数和死亡率。共有80例患者进入该试验。两组患者的最终止血率相似（HPT组92.5%，MPEC组85%），住院天数（HPT组5.4天，MPEC组5.0天），输血量（平均值：HPT组1774毫升，MPEC组1974毫升），手术次数（HPT组3次，MPEC组3次）和死亡率（HPT组2例，MPEC组3例）。两种治疗方法对于消化性溃疡出血都是安全有效的。
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