食管胃底静脉曲张的内镜治疗  

Endoscopic management of esophageal and gastric varices

作　　者：李亚军[1] 李玉琴[1] 王梅阑 陈文清[1] Li Yajun Li Yuqin Wang Meilan Chen Wenqing(Department of Gastroenterology,the First Hospital of Jilin University,Changchun Jilin 130012, China)

机构地区：[1]吉林大学第一医院消化科,长春130012

出　　处：《中华胃肠内镜电子杂志》2016年第3期125-127,共3页Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition)

摘　　要：食管胃底静脉曲张是肝硬化最常见并发症之一,其破裂出血是上消化道出血的主要原因之一,也是肝硬化患者主要死亡原因之一[1]。据文献统计第一次出血的死亡率高达30%,再次出血率可达60%,死亡率33%。因此,应重视食管胃底静脉曲张出血的一级预防、二级预防及急性出血的治疗[2]。内镜治疗已经成为食管胃底静脉曲张重要而有效的防治手段。本文就食管胃底静脉曲张的内镜治疗做一综述。Esophageal and gastric varices is one of the most common complications of liver cirrhosis,and its rupture bleeding is one of the main causes of upper gastrointestinal tract bleeding,and it is also one of the main causes of death in patients with liver cirrhosis. According to the literature,the rate of mortality of the first hemorrhage was as high as 30%,and the rate of rebleeding was 60%,and the rate of mortality was33%. Therefore,we should pay attention to the primary and secondary prevention of esophageal and gastric variceal bleeding,and the treatment of acute bleeding. Endoscopic management has become an important and effective mean of prevention and treatment of esophageal and gastric varices. This article reviews the endoscopic treatment of esophageal and gastric varices.

关 键 词：食管胃底静脉曲张 内镜治疗 套扎术 硬化术 组织粘合剂 

分 类 号：R575.21[医药卫生—消化系统]