内镜下静脉套扎联合硬化治疗食管静脉曲张破裂出血的疗效观察  

Effects of EVL combined with EVS on bleeding caused by rupture of esophageal varices

作　　者：吴益怀[1] 刘伟[1] 乐东友[1] 

机构地区：[1]郴州市第一人民医院消化科,湖南郴州423000

出　　处：《中国医疗前沿（学术版）》2008年第4期14-,17,共2页China Healthcare Innovation

摘　　要：目的观察内镜下静脉套扎(EVL)联合硬化(EVS)治疗食管静脉曲张破裂出血的近远期疗效。方法回顾性分析223例肝硬化食管静脉曲张破裂出血患者,EVL+EVS治疗65例(EE组),EVL治疗72例(EL组)、EVS治疗86例(ES组),比较三组患者止血率和近期再出血率及6个月和12个月时再出血率。结果三组患者的止血率、近期和6个月时再出血率无显著差异(P>0.05)。12个月时EE组再出血率明显低于EL组和ES组(P<0.05)。结论EVL联合EVS与EVL和EVS近期止血疗效相似,但可提高远期止血疗效。Objective To investigate the effects of endoscopic variceal ligature(EVL) combined with endoscopic variceal sclerosis(EVS) on bleeding caused by rupture of esophageal varices induced hepatic cirrhosis. Method Data of 223 patients from Oct. 2000 to Otc.2006 were analyzed; EVL combined with EVS(EE group),EVS(ES group) and EVL(EL group) were performed on 65, 86 and 72 cases, respectively. Hematischesis rate, short-term rehaemorrhagia rate, rehaemorrhagia rate in 6, 12 months after treatment were analyzed. Resu...

关 键 词：食管静脉曲张 出血 内镜下曲张静脉硬化 内镜下曲张静脉套扎 

分 类 号：R575.2[医药卫生—消化系统]