密集结扎法对食管静脉曲张疗效的评价  

Efficacy of endoscopic dense ligation on bleeding esophageal varices(EV)

作　　者：权启镇[1] 齐凤[1] 王要军[1] 江学良[1] 王东[1] 张修礼[1] 孙自勤[1] 

机构地区：[1]济南军区总医院消化内科,250031

出　　处：《中华消化内镜杂志》2001年第5期276-278,共3页Chinese Journal of Digestive Endoscopy

摘　　要：目的观察密集结扎法对食管静脉曲张的疗效及并发症,并对其作出评价。方法128例食管静脉曲张患者,采取内镜下密集结扎法治疗,每次结扎16～22个点,平均18.8个点;与通常法,每次结扎5～6个点(简称一般法),分别治疗1～2次,进行回顾性对比。结果密集结扎法,1次急症止血成功率96.9%,血管消失率为92.2%,2次治疗静脉曲张消失率可高达96.9%,术后再出血率0.8%;而一般法2次治疗后分别为95.7%、42.6%、64.7%及7.1%,两组急症止血成功率差异无显著性P>0.05,而静脉曲张消失率、术后再出血率差异有显著性及非常显著性P<0.05、P<0.01;并发症两组差异无显著性P>0.05。结论密集结扎法对食管静脉曲张出血不仅急症止血率高,而且静脉曲张消失快、再出血发生率低,优于一般法。Objective To evaluate the efficacy and complication of endoscopic dense ligation for bleeding esophageal varices(EV). Methods 128 cases of EV experienced varcies ligation, and 16～22 points(average 18.8 points) of the varices were ligated by using dense ligation, while only 5～6 points were ligated in common ligation (common method) for varices. All patients got one to two times of ligation therapy. Results In dense ligation group, the rate of prompt hemostasis was 96.9%, rate of elimination of EV was 92.2% with one therapy, and 96.9% with twice therapy, while the rate of bleeding was 0.8%. In common method the rates were 95.7%, 42.6%, 64.7% and 7.1% respectively. Between the two groups, the rate of elimination of EV and rebleeding had significant difference (P< 0.05, P< 0.01). Conclusion Dense ligation method has not only higher rate of prompt hemostasis and higher rate of elimination of EV, but also lower rate of rebleeding, in comparing to the common method.

关 键 词：肝硬化 食管静脉曲张 内镜下结扎 

分 类 号：R571[医药卫生—消化系统]