内镜下套扎术治疗食管静脉曲张对胃底静脉曲张及门脉高压性胃病的术后疗效  

Postoperative curative effects of endoscopic ligation in the treatment of esophageal varices to gastric varices and portal hypertensive gastropathy

作　　者：钟碧波[1] 寇继光[1] 尹小武[1] 

机构地区：[1]华中科技大学同济医学院附属孝感市中心医院消化内科,湖北孝感432100

出　　处：《中国医药导报》2012年第12期68-69,共2页China Medical Herald

摘　　要：目的讨论内镜下套扎术(EVL)治疗食管静脉曲张对门脉高压性胃病(PHG)及胃底静脉曲张(GV)的术后疗效。方法对86例肝硬化上消化道出血患者行内镜下套扎术治疗,随访9个月观察内镜下套扎术后胃底静脉曲张的发生率。结果 EVL术后3个月,PHG、GV的发生率与治疗前差异无统计学意义(P>0.05);术后6个月及9个月PHG、GV发生率较术前比较差异有统计学意义(P<0.05)。结论内镜下套扎术治疗食管静脉曲张可增加门脉高压性胃病及胃底静脉曲张发生率。Objective To evaluate the postoperative curative effects of endoscopic variceal ligation （EVL） in the treatment of esophageal varices （EV） to portal hypertensive gastropathy （PHG） and gastric varices （GV）. Methods Eighty-six patients with liver cirrhosis upper gastrointestinal bleeding were treated with the EVL. After 9 months of follow-up, the incidence of varices of fundus of stomach after EVL was observed. Results Three months after EVL, the incidences of PHG and GV had no statistically significant differences from those before the treatment （P 〉 0.05）. Three months and nine months after EVL, the incidences of PHG and GV had statistically significant differences from those before the treatment （P 〈 0.05）. Conclusion EVL in the treatment of EV can increase the incidences of PHG and GV.

关 键 词：内镜 食管静脉曲张 胃底静脉曲张 

分 类 号：R573.1[医药卫生—消化系统]