套扎与硬化治疗在食管静脉曲张出血中的应用  

Ligation and sclerotherapy for esophageal variceal bleeding by endoscopy

作　　者：文黎明[1] 何利[1] 邓冬梅[1] 

机构地区：[1]川北医学院附属第二医院,621000

出　　处：《中国医学创新》2012年第7期15-17,共3页Medical Innovation of China

摘　　要：目的分析套扎和硬化治疗食管静脉曲张出血的方法及效果,为临床治疗提供方法学支持。方法 114例患者,85例进行了套扎治疗(套扎组),29例用1%乙氧硬化醇进行了硬化治疗(硬化组)。结果套扎组82例成功套扎,失败3例,总有效率为96.5%,硬化组29例均成功进行了治疗,总有效率为100%,两组比较差异无统计学意义(P>0.05);套扎组58例曲张静脉直径<1.0cm,套扎后无一例发生再出血,27例血管直径>1.0cm,18.5%发生再出血,两者比较差异有统计学意义(P<0.01),硬化组不同直径曲张静脉无一例发生术后再出血。结论套扎和硬化治疗均是治疗食管静脉曲张破裂出血有效、安全的方法,对0.5cm<曲张静脉直径<1.0cm选择套扎为宜,对曲张静脉直径>1.0cm或<0.5cm选择硬化治疗为好,套扎失败可及时改用硬化治疗。Objective To evaluate of the clinical effects of ligation and sclerotherapy for esophageal varices bleeding. To provide methodological support for clinical treatment. Methods 114 cases were treated, 85 patients were ligated （ ligation group） and 29 cases scle- rotherapied with 1% Ethyl alcohol（cirrhosis）. Results 82 cases were ligated successfully, failure in 3 cases, total efficiency of 96. 5 % ;29 patients were treated successfully with scleretherapy, the total efficiency of 100%. the total efficiency was no significantly different in two groups （ P 〉 0. 05 ） ; 58 patients of varicose vein diameter 〈 1.0 cm was no further bleeding occurred in ligation group. 27 cases of vessel di- ameter 〉 1.0 cm, 18.5% of rebleeding, in comparison P 〈 0. 01, no one of scleretherapy was bleeding after treatment. Conclusion Liga- tion and sclerotherapy for esophageal varices bleeding are safe and effective. Ligation was appropriate for the patients of varicose vein diame- ter,0. 5 cm 〈 and 〈 1.0 cm and sclerotherapy for varicose vein diameter 〉 1.0 cm or 〈0. 5 cm was good.

关 键 词：食管静脉套扎 硬化治疗 食管静脉曲张 出血 

分 类 号：R575.2[医药卫生—消化系统]