内镜结扎治疗食管静脉曲张破裂出血的长期疗效观察  

Long-term effect of endoscopic ligation for bleeding esophageal varices

作　　者：刘诗[1] 许军英[1] 侯晓华[1] 易粹琼[1] 

机构地区：[1]同济医科大学附属协和医院消化内科,武汉430022

出　　处：《中华消化内镜杂志》2000年第4期205-207,共3页Chinese Journal of Digestive Endoscopy

摘　　要：目的观察内镜下食管静脉曲张结扎术治疗食管静脉曲张破裂出血的长期疗效。方法采用Wilson Cook或Microvasive多环结扎器 ,对58例食管静脉曲张破裂出血患者进行了内镜下结扎治疗 ,并随访观察50个月。结果食管静脉曲张完全根除率为77.6 % ,非完全根除率为22.4 %。随访50个月 ,静脉曲张复发率为44.8 % ,复发时间多于治疗后5～24个月。再出血率和死亡率分别为24.1 %和22.4 %。结论食管静脉曲张结扎术是一种治疗食管静脉曲张破裂出血的有效方法 ,但长期疗效观察静脉曲张复发率较高 ,需进一步改善远期疗效。Objective The long-term efficacy of endoscopic ligation for bleeding esophageal varices (EV) was assessed. Methods Multiple rubber band ligator ( Wilson-Cook’s or Microvasive Co’s product ) was used to ligatebleeding EV in 58 patients who were followed up for 50 months. Results The rates of complete and incomplete elimination of EV attained 77.6 and 22.4 percent respectively. The rate of recurrence of EV reached 44.8 percent, mostly seen between 5 and 24 month after ligation. Rebleeding and death occurred in 24.1 and 22.4 percent of cases respectively. Conclusion Though EV ligation is a method ofchoice for bleeding EV,the recurrence rate maintained still high in follow-ups. The long-term consequences are to be improved

关 键 词：食管静脉曲张破裂出血 内窥镜 结扎术 

分 类 号：R571.3[医药卫生—消化系统]