食管癌、胃癌并上消化道出血的内镜治疗效果分析

目的：探讨食管癌、胃癌出血的内镜治疗效果。方法将84例确诊为食管癌、胃癌出血的患者，随机分为A、B、C三组，每组28例。三组均给予一般常规治疗，A组在此基础上予内镜下金属止血夹钳夹止血疗法；B组予内镜下局部药物注射疗法，C组予内镜下微波止血疗法，比较三组的治疗效果。结果A组首次止血成功率显著高于B组及C组（χ2=9.108，P=0.0025及χ2=12.163，P=0.0005）；A组再出血率显著低于B组及C组（χ2=5.965，P=0.0145及χ2=7.24，P=0.0071）。结论内镜下金属止血夹治疗食管癌、胃癌出血的首次止血成功率高、再出血率低，值得临床上推广应用。

Effectiveness analysis of Endoscopic treatment for Upper gastrointestinal hemorrhage with Esophageal cancer and Gastric cancer

Objective To investigate the endoscopic treatment of the upper gastrointestinal hemorrhage with esophageal cancer and gastric cancer. Methods The 84 patients who were diagnosed as upper gastrointestinal hemorrhage with esophageal cancer and gastric cancer, were randomly divided into group A, group B and group C of 28 patients each. Three groups were given on the ba-sis of conventional treatment in general. Group A were given the metal hemostatic clip hemostatic treatments in endoscopic. Group B were given the topical pharmaceutical injection treatments in endoscopic. Group C were given the microwave hemostatic treat-ments in endoscopic. Compare treatment effects of the three groups. Results The first hemostatic success rate of Group A was sig-nificantly higher than group B and group C （χ2=9.108,P=0.0025 and χ2=12.163,P=0.0005）. The rebleeding rate of Group A was significantly lower than group B and group C （χ2=5.965,P=0.0145及χ2=7.24,P=0.0071）. Conclusion The metal hemostatic clip hemostatic treatments in endoscopic should be widely applied in clinical, which first hemostatic success rate is higher and rebleed-ing rate is lower.