食道静脉曲张套扎结合大剂量聚桂醇治疗体会  

The experience about the endoscopic variceal ligation combining more amount dose lauromacrogol in treatment of esophageal varix recurrence

作　　者：綦盛麟 宋连萍 宫航宇 李传汕 

机构地区：[1]大连市第六人民医院,116113

出　　处：《中华腔镜外科杂志（电子版）》2011年第5期26-28,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨在密集套扎疗法的基础上进行硬化治疗对于食管静脉曲张复发的防治作用。方法对食管静脉曲张套扎治疗后食管曲张静脉消失或基本消失的患者进行硬化剂治疗。结果套扎加大剂量聚桂醇治疗组与单纯套扎组再出血率有明显差异(P<0.05)。结论套扎治疗后大剂量硬化剂治疗可显著减少套扎术后残留的食管曲张静脉、延缓静脉曲张的复发。Objective To investigate the preventing and curative value of endoscopic injection sclerotherapy underlying endoscopic variceal ligations in the treatment of the patients suffering from esophageal varix recurrence. Methods The endoscopic injection sclerotherapies were performed to the patients whose esophageal varix varnished or nearly varnished after the endoscopic variceal ligation. Results There were significant differences（P 0.05） between the group of the endoscopic variceal ligation combining more dose lauromacrogol and the group of the single endoscopic variceal ligation at the recurrence rate of bleeding.. No severe complications were observed during the treatments. Conclusions The endoscopic injection sclerotherapy of more amount doses lauromacrogol afer the endoscopic variceal ligation can significantly reduce residual esophageal varix after the endoscopic variceal ligation and delay esophageal varix recurrence.

关 键 词：肝硬化 食管静脉曲张 套扎 硬化剂疗法 

分 类 号：R575.2[医药卫生—消化系统]