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为探索疗效更好、副作用更小的无创性断流方法,采用内镜装置五环套扎器,对22例肝硬化门脉高压曲张静脉反复出血患者作了食管胃底曲张静脉套扎断流术。经1次套扎术即将曲张静脉全部结扎的达54％(12/22),经2次套扎全部结扎的达41％(9/22)。一次套扎术所需时间为20min。手术经过顺利,病人能耐受,术后无明显并发症,内镜复查见套扎的静脉均瘪陷,随访3～6个月无一例发生再出血,平均化费3000元/人。认为内镜下食管胃底曲张静脉套扎术有效、简便、安全,较硬化剂疗法为佳。
In order to explore a more effective and less side effects of noninvasive cut-off method, the use of endoscopic device five rings ligation device, 22 cases of cirrhotic patients with portal hypertension variceal bleeding esophageal varices intravenous ligation Surgery. After a ligation of varicose veins about all the ligation of up to 54% (12/22), after 2 ligation of the total ligation of up to 41% (9/22). A ligation time required for 20min. Surgery was smooth, the patient can tolerate no obvious complications after surgery, see the endoscopic review ligation of the veins are deflated, followed up for 3 to 6 months no case of rebleeding, the average cost of 3000 yuan / person. That endoscopic esophageal varicose vein ligation effective, simple, safe, better than sclerotherapy.