三腔单囊管压迫胃底静脉前后食管曲张静脉压力的变化  

Pressure changes in intraoesophageal varices during sclerotherapy using a gastricballoon tamponade

作　　者：芦菲[1] 刘冰熔[1] 刘红霞[1] 郑善国 

机构地区：[1]哈尔滨医科大学附属第二医院消化内科,黑龙江省哈尔滨市150086 [2]黑龙江省大庆市龙南医院,黑龙江省大庆市163311

出　　处：《世界华人消化杂志》2008年第15期1688-1691,共4页World Chinese Journal of Digestology

摘　　要：目的:研究肝硬化食管静脉曲张患者在放置三腔单囊管压迫胃底静脉前、后食管曲张静脉压力的变化.方法:8例肝硬化食管静脉曲张患者在单胃囊三腔管牵引下,采用50g/L鱼肝油酸钠行食管静脉内注射.在单胃囊三腔管牵引前、后测曲张静脉的压力变化情况,并观察注射后针孔出血情况.结果:单胃囊三腔管压迫胃底静脉前、后食管曲张静脉内的压力改变有显著性差异(t=5.55,P<0.005).经单胃囊三腔管压迫后再予以硬化剂注射治疗后,未发生涌血,2例为少量渗血,其余无出血.结论:硬化治疗时,改良的三腔单胃囊管牵引可有效降低食管曲张静脉内的压力,使硬化治疗的疗效更确切、简便、安全.AIM： To determine the intra-oesophageal varices pressure （IOVP） after a gastric balloon tamponade is inserted in cirrhotic patients with esophageal varices. METHODS： Before sclerotherapy, IOVP was continuously measured in eight cirrhotic patients with esophageal varices through a sclero- therapy needle. We got the primitive pressure right after the puncture. A gastric-balloon tamponade was inserted and IOVP was measured again. Bleeding was monitered. Changes of the pressure before and after scherotherapy were compared and analyzed. RESULTS： The IOVP was significantly differ ent before and after a gastric balloon tamponade is inserted （t = 5.55, P 〈 0.005）. Furthermore, after sclerotherapy, no surge of blood occurred, and blood infiltration appeared in 2 cases. No bleeding was found in the other patients. CONCLUSION： Pulling a gastric-balloon tamponade can reduce IOVP effectively. Endoscopic sclerotherapy under the press of the modified gastric-balloon tamponade is a relatively safe and effective procedure in treatment of lethal bleeding esophagogastric varices.

关 键 词：三腔单囊管 测压 食管静脉曲张 硬化治疗 

分 类 号：R575.2[医药卫生—消化系统]