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目的:分析胃镜下肝硬化食管静脉曲张套张术的临床效果。方法:将2013年6月-2014年6月我院收治的肝硬化食管静脉曲张患者86例随机分为两组,实验组43例,采用胃镜下静脉曲张套扎术,对照组43例,采用内科药物治疗,比较两组的临床效果。结果:实验组患者临床治疗成功率为100%,并发症发生率为96.98%,病死发生率0.0%,住院时间(9.3±1.7)d,对照组患者临床治愈成功率为72.1%,并发症发生率为32.6%,病死发生率为11.6%,住院时间(18.4±3.2)d,实验组患者的临床效果明显优于对照组患者,并且实验组患者术后下降比例高于对照组,12个月后复发率及死亡率低于对照组,两组比较差异显著,具有统计学意义(P<0.05)。结论:对肝硬化食管静脉曲张患者采用胃镜下静脉曲张套扎术治疗,能够提高治疗的成功率,减少并发症的发生率及术后复发率低,值得临床推广应用。
Objective: To analyze the clinical effect of endoscopic esophageal varices surgery under endoscopy. Methods: From June 2013 to June 2014, 86 patients with cirrhosis and esophageal varices admitted to our hospital were randomly divided into two groups. The experimental group received 43 cases of gastric varices ligation and 43 cases of control group. Internal medicine treatment, the clinical effect of two groups were compared. Results: The successful rate of clinical treatment was 100%, the complication rate was 96.98%, the incidence of death was 0.0% and the hospitalization time was 9.3 ± 1.7 days. The success rate of clinical cure in the control group was 72.1%, complication occurred The rate of death was 11.6% and the length of hospital stay was (18.4 ± 3.2) days. The clinical effect of the experimental group was significantly better than that of the control group. The rate of postoperative decline in the experimental group was higher than that of the control group. The 12-month After the recurrence rate and mortality were lower than the control group, the difference was significant between the two groups, with statistical significance (P <0.05). Conclusion: The treatment of patients with cirrhosis esophageal varices by gastroscopy varicose vein ligation can improve the success rate of treatment, reduce the incidence of complications and postoperative recurrence rate, worthy of clinical application.