内镜下钛夹治疗非静脉曲张性消化道出血47例

目的:观察内镜下金属钛夹治疗非静脉曲张性消化道出血的疗效.方法:收集我院2003-12/2006-07非静脉曲张性消化道出血患者47例,在内镜直视下明确出血部位,使用钛夹推送器对准出血部位两端,钳夹止血.结果:非静脉曲张性消化道出血患者47例经钛夹钳夹治疗后,均一次性止血成功,即时止血率100%,术后无明显并发症,随访3mo无1例再发出血.结论:金属钛夹是非静脉曲张性消化道出血的一种有效的止血方法,具有操作简单、止血效率高及无明显并发症等优点,值得临床推广应用.

Treatment of non-variceal gastrointestinal tract bleeding with metal clips: an analysis of 47 cases

AIM:To observe the efficacy of titanium clips in treating acute non-variceal gastrointestinal tract bleeding.METHODS:Data on forty-seven cases of acute non-variceal gastrointestinal tract bleeding,treated between December 2003 and July 2006,were collected.The bleeding site was identified by endoscope,and both ends of the bleeding area were clipped with a titanium clip adjuster.RESULTS:Acute non-variceal gastrointestinal tract bleeding was stopped immediately in all cases using electronic gastroscopy and metal titanium clips,the instant hemostasis rate was 100%.Patients were followed-up for about 3 months and none recurred.CONCLUSION:Metal titanium clips provide an effective and easy measure with which to treat gastrointestinal tract bleeding.They offer better efficacy than hemostasis treatment without any severe complications and their widespread clini-cal application is recommended.