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经胃镜下结扎(EVL)后附加硬化剂注射(EIS)联合治疗食管静脉曲张患者106例,101例一个月内无出血,止血率为95.3%。经过1—2次胃镜结扎治疗后再用硬化剂治疗,88例食管静脉曲张完全消失,消失率达83.0%,余18例(17%)静脉曲张明显缩小。结果提示,采用EVL和EIS联合治疗重庆食管静脉曲张与单纯使用EVL或EIS治疗的止血效果和食管静脉曲张消失率两种方法相比有显著的差异(分别为P<0.01和P<0.05)。它具有方法简单、安全、能有效地控制急性出血及手术后再出血,降低死亡率,使肝功能差的患者度过出血期,为择期手术创造条件。
106 cases of esophageal varices were treated with EIS combined with endoscopic ligation (EVL). No bleeding occurred in 101 cases within one month, and the rate of bleeding was 95.3%. 88 cases of esophageal varices disappeared completely after disappearance rate reached 83.0% after more than 1-2 times of endoscopic ligation treatment with hardener, and the remaining 18 cases (17%) of varicose veins conspicuously reduced. The results suggest that the combination of EVL and EIS treatment of esophageal varices in Chongqing and the simple use of EVL or EIS treatment of hemostasis and varicose veins esophageal two methods compared to the two methods were significantly different (P <0.01 and P <0 .05). The method has the advantages of simple and safe method, effectively controlling acute hemorrhage and bleeding after operation, reducing mortality, enabling patients with poor liver function to hemorrhage and creating conditions for elective surgery.