摘要
食管静脉曲张出血是肝硬化失代偿期最常见也是最严重的并发症,发病率和病死率较高.套扎术能有效治疗食管静脉曲张,但术后的再出血率很高.因此,预防套扎术后的再出血,是提高肝硬化患者生存率的重要措施.随着人们对套扎术后患者再出血的预防及治疗研究的不断进展,有助于改善肝硬化这一严重并发症的结局.目前已经开展了许多预防再出血的治疗方法,包括内镜或手术治疗、药物治疗,以及联合治疗方法.关于单一方法治疗或联合治疗的效果,已有多项试验进行了研究,本文将对以上研究成果进行综述,以指导临床选择适宜的预防和治疗策略.
Hemorrhage from esophageal varices is a serious and common complication of decompensated cir- rhosis and carries a significant rate of morbidity and mortality. Endoscopic variceal ligation （EVL） is an effective treatment for esophageal varices; however, there is a very high rate of rebleeding. Prevention and treatment of rebleeding after EVL are important for improving survival in patients with liver cirrhosis. Currently, many measures, including endoscopy, surgery, medication, and a combination of them, have been developed to prevent the occurrence of rebleeding after EVL. Many clinical trials have been done to evaluate the effectiveness of various treatments, alone or in combination, for rebleeding.
出处
《世界华人消化杂志》
CAS
北大核心
2012年第29期2795-2799,共5页
World Chinese Journal of Digestology
关键词
套扎术
再出血
食管静脉曲张
Band ligation
Rebleeding
Esophageal varices
