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目的探讨食管贲门黏膜撕裂综合征的诊断和治疗。方法将2000年至2006年我院确诊的58例食管贲门黏膜撕裂综合征患者随机分为两组,对比分析内镜下治疗加内科保守治疗和单纯内科保守治疗的治疗效果。结果全部病例经内科保守治疗和内镜下治疗而痊愈,内镜下治疗加内科保守治疗组可明显减少患者呕血、黑便及住院时间,降低费用,一次性止血率和黏膜愈合率明显高于内科保守治疗组,两者具有统计学意义。结论食管贲门黏膜撕裂综合征为消化内科急症,胃内或腹内压力骤然升高是引起食管贲门黏膜撕裂综合征的最根本原因,呕吐后呕血、黑便为主要症状,早期胃镜检查为确诊的重要方法,早期内科保守治疗和胃镜下治疗是可治愈的。
Objective To investigate the diagnosis and treatment of esophageal and gastric cardial tear syndrome. Methods A total of 58 patients with esophageal and gastric cardial tearing syndrome diagnosed in our hospital from 2000 to 2006 were randomly divided into two groups. The therapeutic effects of endoscopic treatment with conservative treatment and conservative treatment were compared. Results All cases were cured by internal conservative treatment and endoscopic treatment. Endoscopic treatment combined with conservative treatment in patients with traditional Chinese medicine could significantly reduce the patients’ vomiting, melena and hospitalization time, cost reduction, one-time hemostasis rate and mucosal healing rate Medical conservative treatment group, both with statistical significance. Conclusions Esophageal and gastric cardial tearing syndrome is an emergency of gastroenterology. The sudden increase of intragastric or intra-abdominal pressure is the most fundamental cause of esophageal and gastric cardial tear syndrome. The vomiting and vomiting after hematemesis and melena are the main symptoms. The early gastroscopy An important diagnostic method, early medical conservative treatment and endoscopic treatment is curable.