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目的应用内镜结扎术治疗14例食管静脉曲张破裂出血住院病人,观察止血效果及食管静脉曲张根除情况。方法通过直视或胃镜和食管静脉结扎器治疗14例共结扎18次,每例平均1.3次;共91个点,平均每例6.5个点。结果经结扎治疗后食管静脉曲张被根除7例,根治率为54%;5例有效,总有效率86%;结扎止血率达100%。结论内镜结扎术是治疗食管静脉曲张出血的有效手段之一,它既可止血,也可作为预防食管静脉曲张再出血的长期处理措施。
Objective To treat 14 patients with esophageal varices bleeding in hospital by endoscopic ligation and observe the effect of hemostasis and esophageal varices eradication. Methods Fourteen cases were treated by direct or endoscopy and esophageal vein ligation for a total of 18 times, with an average of 1.3 times per case; a total of 91 points with an average of 6.5 points per case. Results After the ligation of esophageal varices was eradicated in 7 cases, the cure rate was 54%; 5 cases were effective, the total efficiency of 86%; ligation to stop bleeding rate of 100%. Conclusion Endoscopic ligation is one of the effective measures for the treatment of esophageal variceal hemorrhage. It can stop bleeding and can be used as a long-term treatment to prevent rebleeding of esophageal varices.