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1995年2月以来,我们采用内镜下套扎术治疗食管静脉曲张患者19例,现报告如下。 资料与方法:本组男16例,女3例;年龄28～67岁。均为肝炎后肝硬化,且发生过上消化道出血。4例有门脉高压手术史,2例曾行硬化剂注射治疗。入院时活动性大出血3例。肝功能按Child分级A级2例,B级12例,C级5例。 内镜下见19例患者共有曲张静脉62条。共进行42次、117处曲张静脉结扎,每例每次套2～4条,每条套1～3点,至被套静脉形成的静脉球变紫,2～3次为一疗程。 结果:2周后复查,静脉球均脱落,无残留溃疡。疗程结束后复查,显效(曲张静脉完全消失)11例,有效(曲张静脉条数减少50％以上,且明显塌陷、变细、变短)8例,3例活动性出血均即刻止血,成
Since February 1995, we used endoscopic ligation in the treatment of 19 cases of esophageal varices, are as follows. Materials and Methods: The group of 16 males and 3 females; aged 28 to 67 years. Hepatitis cirrhosis, and the occurrence of upper gastrointestinal bleeding. 4 cases had a history of portal hypertension, 2 cases had a sclerotherapy injection. 3 cases of active bleeding on admission. Liver function according to Child classification A grade 2 cases, B grade 12 cases, C grade 5 cases. Endoscopic see 19 patients a total of 62 varicose veins. A total of 42 times, 117 varicose veins ligation, each case of each set of 2 to 4, each set of 1 to 3 points, to be set by the formation of intravenous vein purple, 2 to 3 times for a course of treatment. Results: After 2 weeks of review, the venous spherules were all shed without residual ulcer. After the end of the course of treatment, 11 cases were markedly effective (complete disappearance of varicose veins), 8 cases (effective in reducing the number of varicose veins by more than 50% and obviously collapsing, narrowing and shortening), and 3 cases of active hemorrhage were immediately stopped bleeding.