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[目的]观察三腔二囊管压迫与内镜下食管静脉曲张套扎术(EVL)联合治疗食管静脉曲张出血的疗效。[方法]回顾性总结289例食管静脉曲张出血的患者行EVL治疗的结果,其中176例活动性出血的患者EVL前行三腔二囊管压迫止血术。EVL后2周内再发出血患者行内镜引导下三腔二囊管置入术,控制出血后再次行胃镜检查,必要时再次EVL治疗。[结果]EVL前三腔二囊管压迫止血有效率为95.46%(168/176),首次内镜下食管静脉曲张套扎治疗有效率为96.19%(278/289)。11例EVL后2周内发生再出血患者,行内镜引导下三腔二囊管置入及压迫术,其中9例压迫成功;5例再次行EVL治疗后控制出血。三腔二囊管压迫与EVL联合治疗食管静脉曲张出血的总有效率为99.31%(287/289)。[结论]三腔二囊管与EVL联合治疗食管静脉曲张出血,可以提高EVL的总有效率。
[Objective] To observe the curative effect of triple-lumen balloon compression and endoscopic esophageal variceal ligation (EVL) in the treatment of esophageal variceal bleeding. [Methods] The retrospective summary of 289 cases of esophageal variceal bleeding in patients with EVL treatment results, of which 176 cases of active bleeding in patients with EVL before three-chamber two-balloon compression hemostasis. Within 2 weeks after EVL, hemorrhagic patients underwent endoscopic retrospective three-chamber two-balloon catheterization. After hemorrhage was controlled, gastroscopy was performed again and EVL treatment was performed if necessary. [Results] The effective rate of the first three-chamber double-capsule compression hemostasis was 95.46% (168/176). The effective rate of the first endoscopic esophageal variceal ligation was 96.19% (278/289). In 11 patients with rebleeding within 2 weeks after EVL, endoscopic-guided three-chamber two-balloon catheterization and compression were performed. Among them, 9 patients underwent oppression successfully and 5 patients underwent re-bleeding after EVL. The total effective rate of triple lumen compression and EVL in treating esophageal variceal bleeding was 99.31% (287/289). [Conclusion] The combination of triple-lumen balloon and EVL in treating esophageal variceal bleeding can improve the total effective rate of EVL.