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目的:探讨内镜下食管曲张静脉结扎术(EVL)对胃底曲张静脉及门脉高压性胃病的影响。方法:对213例肝硬化病人行EVL治疗,并进行平均33个月的随访研究。结果:在行第二次EVL治疗时,12.7％的病人胃底曲张静脉出现或较前加重(P<0.05),22.3％的病人门脉高压性胃病较前加重(P<0.01),在此后的进一步随访中,胃底曲张静脉及门脉高压性胃病又渐恢复到治疗前状态。结论:EVL治疗后仅短期内加重胃底曲张静脉和门脉高压性胃底。
Objective: To investigate the effect of endoscopic variceal ligation (EVL) on gastric varices and portal hypertensive gastropathy. Methods: 213 patients with liver cirrhosis underwent EVL and were followed up for an average of 33 months. Results: In the second EVL treatment, gastric varices in 12.7% patients appeared more or less than before (P <0.05), and portal hypertension gastropathy in 22.3% patients increased earlier (P <0.01) In the further follow-up, gastric varices and portal hypertensive gastropathy gradually returned to the pre-treatment state. Conclusions: The gastric fundus varices and portal hypertrophy are increased only shortly after EVL treatment.