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为了评价内镜了曲张静脉结扎法(EVL)在食管静脉曲张活动性出血的止血效果及安全性,对22例食管静脉曲张急性出血患者进行了该项治疗。其中肝硬化患者14例,其余均是不能手术的肝细胞肝癌患者。Pyghs分级:A3例,B18例,C11例。使用Stieg-mann—Goff结扎器,在内镜下于邻近食管—贲门(E—C)连接处尽快施行结扎直到止血停止。出血停止达72小时以上,即可确定为初步止血成功。肝硬化组经4～7根橡皮带结扎后,12例病人(86％)止血成功。3例病人再出血,再出血率25％。2
In order to evaluate the efficacy and safety of endoscopic variceal ligation (EVL) in the active bleeding of esophageal varices, 22 patients with esophageal variceal bleeding were treated. Including cirrhosis in 14 cases, the rest are inoperable patients with hepatocellular carcinoma. Pyghs classification: A3 cases, B18 cases, C11 cases. Using a Stieg-mann-Goff ligator, ligation was performed endoscopically near the esophageal-cardial (E-C) junction until the hemostasis ceased. Stop bleeding for 72 hours or more, you can determine the success of the initial hemostasis. After cirrhosis was ligated with 4-7 rubber bands, 12 patients (86%) had successful hemostasis. Three patients rebleeded with an additional rate of 25%. 2