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目的探讨超声内镜对食管静脉曲张诊断及评估治疗后曲张静脉再形成的价值。方法 20例食管静脉曲张常规内镜及超声微探头均显示有曲张静脉,根据静脉曲张严重程度、位置分别行内镜下曲张静脉套扎(EVL)、硬化剂治疗(EVS)或EVL+EVS。治疗后1周行超声微探头检查明确曲张静脉的消失情况,并于术后1、3、6个月各随访1次,观察有无曲张静脉的存留或再形成。对需要治疗者再进行相应治疗。结果随访6个月,显效(F0+F1)8例,显效率为40.0%,与术前(F0+F1=2例,10.0%)相比,差异有统计学意义(P<0.05);复发12例,复发率60.0%。术后6个月时F2+F3(12例,60.0%)与术前(F2+F3=18例,90.0%)相比,差异有统计学意义(P<0.05)。结论超声内镜检查对食管静脉曲张的诊断、治疗选择、术后复发的准确随访有较高价值。
Objective To investigate the value of endoscopic ultrasonography in the diagnosis of esophageal varices and evaluate the reformation of varicose veins after treatment. Methods Twenty patients underwent routine endoscopic and ultrasonographic probes of esophageal varices showed varicose veins. Endoscopic varicose vein ligation (EVL), sclerotherapy (EVS) or EVL + EVS were performed according to the severity of varicose veins. One week after treatment, ultrasound microprobe was used to detect the disappearance of varicose veins. The patients were followed up 1, 3 and 6 months after operation to observe the presence or re-formation of varicose veins. The need for treatment and then the appropriate treatment. Results After 6 months of follow-up, 8 cases were markedly effective (F0 + F1), the effective rate was 40.0%, which was significantly different from that before operation (F0 + F1 = 2 cases, 10.0% 12 cases, the recurrence rate was 60.0%. The level of F2 + F3 (12 cases, 60.0%) at 6 months after operation was significantly lower than that before operation (F2 + F3 = 18 cases, 90.0%) (P <0.05). Conclusion Ultrasound endoscopy has a high value for the diagnosis of esophageal varices, the choice of treatment and the accurate follow-up of postoperative recurrence.