摘要
采用内镜下结扎技术择期治疗肝硬化食管静脉曲张破裂出血患者30例,结扎51次,每例1～3次,每隔2周1次,每次结扎4～18个点,共结扎357个点,每例平均为11.9个点。结果表明:静脉曲张根治率及总有效率分别达88%和100%,该组无1例发生严重并发症,随访观察1～12个月也均未发生与结扎直接有关的复发性再出血。认为:内镜下结扎治疗确是治疗和预防食管静脉曲张破裂出血的理想方法,具有简便易行、疗效确切、安全可靠、可重复、易被患者接受等优点。
Thirty cirrhosis patients with variceal bleeding were treated with endoscopic variceal ligation. The ligation session numbercd 51, each case had l to 3, and the interval between session was two weeks. At each session 4 to 18 ligation were placed. The total number of liga-tions was 357 with an average number of 11.9. The results showed: variceal eradication rate and overall efficacy rate were 88% and 100% independently. In all patients, no severe complication occued, and at one to 12 months follow-up no rebleeding related to ligation occured. We considered that endoscopic variceal ligation is truly a promising mean for treatment and preventment of bleeding esophagcal varices with the advantages of simplicity, effectiveness, safety, repeating and acceptablity.
出处
《中国内镜杂志》
CSCD
1996年第1期6-8,共3页
China Journal of Endoscopy
关键词
食管静脉曲张
破裂出血
内镜
结扎术
endoscopic variceal ligation
liver cirrhosis
esophageal varice
