内镜密集与非密集套扎治疗重度食管静脉曲张的疗效比较  

作　　者：薛冬云[1] 曲少贤[1] 王玲[1] 王娟[1] 赵志香[1] 

机构地区：[1]山东潍坊医学院附属诸城市人民医院消化内科,262200

出　　处：《中国社区医师（医学专业）》2012年第17期140-141,共2页

摘　　要：目的:观察内镜下密集套扎治疗重度食管静脉曲张的效果。方法:将肝硬化门脉高压患者120例随机分为两组,A组为密集套扎组64例,B组为非密集套扎组(普通组)56例。分组标准以一次套扎圈<6个为非密集套扎组,>8个为密集套扎组。结果:A组首次每例患者平均结扎10.9个点,21例于首次结扎后静脉曲张基本消失,显效有26例,有效13例,无效4例,总有效率93.75%。B组食管静脉曲张4例基本消失,28例显效,19例有效,5例无效,总有效率91.07%。结论:采用密集EVL术,静脉曲张消失率高,可减少套扎次数,是有效的治疗食管静脉曲张的可靠方法。Aim： To observe the efficacy of endoscopic variceal dense ligation. Methods： One hundred and twenty cirrhotic patients with severe esophageal variees were randomly divided into 2 groups： dense ligation group （ goup A, n = 64 ） and nondense ligation group （ group B, n = 56 ）. Criteria for grouping were that collar of loop ligature 〉 8was taken as dense ligation and collar of loop ligature 〈 6as non - dense ligation. Six shooter multi - band ligators were used for endoscopy. Results ： In group A, average ligature for first ligation was 10. 9 ligature points for each patient. Two weeks after first ligature, 21patients were basically cured （varicose vein was essentially cured）, 26 patients were greatly improved, 13 patients responded to some degree, and 4 patients did not respond to the treatment, resulting in a total effective rate of 93.75%. In group B,4 patients were basically cured （varicose vein was basically cured ） , 28 patients were greatly improved, 19 patients responded tosome degree, and 5 patients did not respond to the treatment, resulting in a total effective rate of 91.07%. Conclusion： Successive endoscopic variceal ligation, which brings about high disappearance rate of esophageal varices and reduced ligation frequency, is an effective and reliable approach to esophageal varices.

关 键 词：肝硬化 食管静脉曲张 内镜下结扎术 

分 类 号：R571.3[医药卫生—消化系统]