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1986年1月—1992年1月我院收治肝硬化食管静脉曲张破裂出血83例,对内镜硬化、气囊填塞压迫及手术治疗疗效进行比较。 1 对象和方法 1.1 对象 均经肝功、腹部B超及内镜证实为肝硬化食管静脉曲张破裂出血。肝功能按Child分级。本组男60例,女23例,年龄18—76岁,平均50岁,一般情况见表1。 1.2 方法 硬化治疗43例(单纯硬化30例,硬化+气囊5例,硬化+气囊+手术8例),采用5％鱼肝油酸钠血管内/或加血管旁注射,20—40ml/次,疗程3—5次,3—4点/次注射。气囊填塞(三腔二囊管)46例(单纯气囊22例,气囊+硬化3例,气囊+手术21例)。手术组29例(手术21例,手术+气囊8例),术式:断流术2例,分流+脾切除27例。所有病例随访1年以上。
From January 1986 to January 1992, 83 cases of esophageal variceal hemorrhage in our hospital were treated with endoscopic sclerosis, balloon compression and surgical treatment. 1 objects and methods 1.1 objects were liver function, abdominal ultrasound and endoscopy confirmed cirrhosis esophageal variceal bleeding. Liver function by Child classification. The group of 60 men and 23 women, aged 18-76 years, mean 50 years, the general situation in Table 1. 1.2 Methods 43 cases of sclerotherapy (simple sclerosis in 30 cases, sclerosis + balloon in 5 cases, sclerotherapy + balloon surgery in 8 cases), using 5% sodium heparinate intravascular or paravascular injection, 20-40ml / time, treatment 3 -5 times, 3-4 points / injection. Forty-six cases of balloon-packed (three-chamber and two-balloon catheter) balloon in 22 cases, balloon + sclerosis in 3 cases, balloon + operation in 21 cases. The operation group consisted of 29 cases (operation 21 cases, operation + balloon 8 cases). The operation was performed in 2 cases of disconnection and in 27 cases of shunt and splenectomy. All cases were followed up for more than 1 year.