摘要目的 探讨内镜下止血治疗消化道机械吻合术后早期吻合口出血的疗效.方法 回顾性分析2005年1月至2010年6月间在复旦大学附属中山医院内镜中心接受内镜下止血的消化道机械吻合术后早期吻合口出血的14例患者的临床资料.结果 男性9例,女性5例,中位年龄57.5岁(26～74岁).术后出血时间6 h至14 d,出血量500～1500 ml.内镜下发现吻合口出血灶后,采取硬化剂注射、电凝止血或金属夹夹闭的方法 进行止血.所有患者均一次止血成功,术后均未出现吻合口瘘等严重并发症.随访至今,未见再次出血.结论 内镜下治疗消化道机械性吻合术后早期吻合口出血操作简单、安全、有效,可作为首选方法 在临床上推广应用.

abstractsObjective The study aimed to evaluate the efficacy of endoscopic therapy for early postoperative anastomotic hemorrhage. Methods Fourteen patients experienced an episode of early postoperative anastomotic hemorrhage and were treated endoscopically from January 2005 to June 2010. The clinical data was analyzed retrospectively. Results Fourteen patients (9 males and 5 females, median age 57.5 years,range 26-74 years) were diagnosed with postoperative hemorrhage between 6 hours to 14 days after surgery. The blood loss ranged from 500 to 1500 ml. Sclerosing agent injection, electrocoagulation, and hemoclips were attempted to control the bleeding. Endoscopic approach to control early postoperative anastomotic hemorrhage was successful in all the patients. No recurrent bleeding was observed during the follow-up. No complications associated with endoscopic therapy. Conclusion Endoscopic approach for the management of early postoperative anastomotic hemorrhage is feasible with high success rate and associated with no complications.