食道胃底静脉曲张出血套扎术联合聚桂醇硬化术的疗效观察  

Effects of endoscopic variceal ligation combining sclerosis with lauromacrogol in patients with gastroesophageal variceal bleeding

作　　者：何琦[1] 刘福建[1] 

机构地区：[1]广西贵港市人民医院消化内科,537100

出　　处：《中华腔镜外科杂志（电子版）》2011年第5期23-25,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的观察内镜下套扎术联合聚桂醇硬化术治疗食道胃底静脉曲张出血的疗效。方法 103例食管胃底静脉曲张出血患者,予套扎术联合聚桂醇硬化术治疗,观察其疗效。结果治疗后患者食管静脉曲张消失率为95.1%(98/103)。随访半年至1年中,患者再出血病例4例(3.9%),3例为合并门脉高压性胃病患者,1例为注射点渗血,死亡1例。治疗后胸骨后疼痛12例,合并胸膜炎10例,发热8例,早期再出血1例,无出现食管狭窄或食管穿孔病例。结论内镜下食管胃底静脉曲张套扎术联合聚桂醇硬化治疗食管胃底静脉曲张出血效果好,复发率低,副反应小,临床应广泛开展应用。Objective To determine the effects of endoscopic variceal ligation combining sclerosis with lauromacrogol in patients with gastroesophageal variceal bleeding. Methods One hundred and three cases of patients with gastroesophageal variceal bleeding received variceal ligation combining sclerosis with lauromacrogol and outcomes of treatment were observed. Results After treatment 95.1 %（98/103） of patients presented gastroesophageal disappearance.During the 6-month to one-year follow-up,4（3.9 %） patients were found rebleeding,3 patients portal hypertensive gastropathy,one patient errhysis at the injecting point and one dead. Also recorded were 12 patients of post-sternal pain,10 patients of pleuritis,8 patients of fever and 1 patient of rebleeding. No esophageal stenosis and esophageal perforation were found. Conclusions Endoscopic variceal ligation combining sclerosis with lauromacrogol in patients with gastroesophageal variceal bleeding is effective with low reoccurrence rate and minor side effects,which can be widely applied clinically.

关 键 词：套扎术 聚桂醇 硬化术 静脉曲张 

分 类 号：R575.2[医药卫生—消化系统]