Patai A, Jakab Z, Nádasi G, Márkus B, Döbrönte Z
Vas Megyei Markusovszky Kórház, Szombathely, II. Belgyógyászati Osztály.
Orv Hetil. 1998 Sep 27;139(39):2299-304.
The data of 596 electro-hydrothermal coagulations in nonvariceal acute gastrointestinal bleeding were retrospectively evaluated and the results were compared to a previous period in which the endoscopic hemostasis was not regularly applied. Initial hemostasis was achieved in 96.1%, the rebleeding rate was 20.5%, perforation occurred in 0.5%. Comparing the two period the need of urgent surgery decreased from 9.2% to 3.4% (p < 0.05) and the mortality from 25.4% to 12% (p < 0.01).
The electro-hydro-thermal coagulation is a safe and effective method in the treatment of nonvariceal gastrointestinal bleeding.
对596例非静脉曲张性急性胃肠道出血行电热水凝术的数据进行回顾性评估,并将结果与内镜止血未常规应用的前期进行比较。初始止血成功率为96.1%,再出血率为20.5%,穿孔发生率为0.5%。比较两个时期,急诊手术需求从9.2%降至3.4%(p<0.05),死亡率从25.4%降至12%(p<0.01)。
电热水凝术是治疗非静脉曲张性胃肠道出血的一种安全有效的方法。