摘要
目的 探讨3种内镜下治疗方法对胃底静脉曲张的疗效。方法将40例胃底静脉曲张患者分为3组进行内镜下治疗,分别为胃底静脉曲张结扎术组(11例)、静脉内注射组织粘合剂组(15例)以及静脉内注射鱼肝油酸钠和凝血酶组(14例)。术后随访6个月,了解其有效率、胃底静脉曲张消失率、再出血率、不良反应发生率以及成本-效益比。结果3组患者6个月的有效率分别为100.0％、100.0％、72.7％;胃底静脉曲张消失率分别为25.0％、30.8％、0;再出血率分别为27.3％、20.0％、28.6％。结论 胃底静脉曲张结扎术和静脉内注射组织粘合剂的疗效优于静脉内注射鱼肝油酸钠和凝血酶,胃底静脉曲张结扎术的成本-效益比最好。
Objective To study the effects of three kinds of endoscopic therapy on gastric varices. Methods In this study, the efficacies of endoscopic band ligation ( EVL) , endoscopic injection of tissue adhesives (histoacryl) and sclerotic agent (EIS) for gastric varices were assessed. Forty consecutive, non-randomized patients with gastric varices were prospectively studied. EVL was done for 11 cases, Histoacryl 15 cases, and EIS 14 cases, to control and prevent relapse of bleeding. Results In the following-up ( six months) period, the effective rate of EVL, histoacryl and EIS were 100. 0% , 100. 0% and 72. 7% ; the e-radicative rate 25. 0% , 30. 8% ,0 (P < 0. 01) and relapsed bleeding rate 27. 3% , 20. 0% , 28. 6% , respectively. Conclusion Endoscopic ligation and endoscopic injection of histoacryl are more effective and safer than endoscopic scherotherapy for gastric varices. Endoscopic ligation is the most cost-effective method.
出处
《中华消化内镜杂志》
2003年第2期80-82,共3页
Chinese Journal of Digestive Endoscopy
关键词
内镜
治疗
胃底静脉曲张
疗效
Gastric varices
Endoscopic variceal ligation
Endoscopic variceal sclerotherapy
