Kết quả nội soi thắt vòng cao su và tiêm histoacryl cấp cứu chảy máu tiêu hóa do vỡ giãn tĩnh mạch tâm vị (gov1) tại Bệnh viện Hữu nghị Việt Tiệp

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Tác giả: Thị Thu Trang Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Sức khỏe, 2024

Mô tả vật lý: tr.119

Bộ sưu tập: Metadata

ID: 341948

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Mục tiêu: Đánh giá hiệu quả, độ an toàn của phương pháp thắt vòng cao su và tiêm histoacryl trong điều trị chảy máu do vỡ giãn tĩnh mạch tâm vị (GOV1). Phương pháp: Nghiên cứu mô tả loạt ca bệnh. Đối tượng: 83 bệnh nhân chảy máu tiêu hóa do vỡ giãn tĩnh mạch dạ dày (GOV1) được điều trị tại khoa nội tiêu hóa bệnh viện Việt Tiệp từ tháng 10/2020 đến tháng 9/2022. Kết quả: 83 bệnh nhân, nam 96,39%, tuổi trung bình 57,5 ± 10,42 (34-82) tuổi. Có 9 trường hợp (10,84%) được thắt vòng cao su kết hợp với tiêm histoacryl
50 (60,24%) thắt vòng cao su đơn độc
24 (28,92%) tiêm histoacryl đơn độc. Số lượng histoacryl trung bình 1,1 ± 0,38 (0,5-1,5) ml. Tỷ lệ thành công kỹ thuật là 100%. Cầm máu cấp cứu là 55/55 bệnh nhân (100%). Tỷ lệ chảy máu tái phát cộng dồn trong 12 tháng (10,84%). Triệt tiêu búi giãn tĩnh mạch tâm vị sau 3 tháng tiêm histoacryl (94,45%), thắt vòng cao su (86,21%). Biến chứng: đau thượng vị là (15,66%)
không có trường hợp nào nhiễm trùng huyết và tắc mạch. Kết luận: Nội soi thắt vòng cao su và tiêm histoacryl là phương pháp hiệu quả, an toàn trong điều trị chảy máu do vỡ giãn tĩnh mạch tâm vị (GOV1).Objectives: To evaluate the efficacy and safety of band ligation and histoacryl injection in the management of acute gastric variceal bleeding (type GOV1). Method: A perspective descriptive study. Patients: 83 patients with gastric variceal bleeding (type GOV1) were performed in department of gastroenterology at Viet-Czech Friendship Hospital from 10/2020 to 9/2022. Results: Of 83 patients, 96.39% men, median age of 57.5 ± 10.42 (34-82) years. There were 9 cases (10.84%) combined with band ligation and histoacryl injection
50 (60.24%) were band ligation and 24 (28.92%) were injected with histoacryl alone. Median of histoacryl was 1.1 ± 0.38 (0.5-1.5) ml. The technical success rate was 100%. Haemostasis in emergency was 55/55 patients (100%). Haemorrhage recurrent rate was during 12 months (11.84%). Eradication of gastric varices after histoacryl injection (94.45%) and band ligation (86.21%) within three months. Complications: epigastric pain rate was 15.66%
there was not case with septicemia and embolism. Conclusions: endoscopic band ligation and histoacryl injection are effective and safe measure in the treatment of gastric varices bleeding (type GOV1).

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