论文部分内容阅读
目的:应用“O”形橡皮圈行内镜下食管曲张静脉结扎术(EVL)包括机械结扎和使曲张静脉内血栓形成。本文评价了EVL治疗食管静脉曲张破裂出血的效果和安全性。方法:16例食管静脉曲张破裂出血病人,Child A级5例,B级8例,C级3例。经诊断性内镜检查后,于食管远端5cm和胃近端1-2cm范围内进行结扎。结果:在15个月中,16例食营静脉曲张破裂出血病人作了EVL。平均每例结扎4次后,10例静脉曲张根治,5例缩小。全组共作EVL370处,未发生与治疗有关的非出血性并发症。经1—14个月随访,1例再出血,2例死于肝衰竭。结论:EVL可控制活动性食营静脉曲张破裂出血,反复治疗可根治静脉曲张。它几乎不发生非出血性并发症,可代替硬化治疗。
OBJECTIVE: Endoscopic esophageal variceal ligation (EVL) using “O” rubber bands includes mechanical ligation and varicose vein thrombosis. This article evaluates the efficacy and safety of EVL in the treatment of esophageal variceal bleeding. Methods: Sixteen patients with esophageal variceal bleeding were classified as Child A grade in 5 cases, Grade B in 8 cases and Grade C in 3 cases. After diagnostic endoscopy, in the distal esophageal 5cm and 1-2cm proximal gastric ligation. Results: In 15 months, 16 patients with gastroesophageal varices had EVL. After an average of 4 ligation in each case, 10 cases of varicose veins radical, 5 cases reduced. The whole group co-made with EVL370, and no treatment-related non-hemorrhagic complications. After 1-14 months of follow-up, 1 case of rebleeding, 2 cases died of liver failure. Conclusion: EVL can control varicocelectomy and active bleeding, and repeated treatment can cure varicose veins. It almost no non-bleeding complications, can replace sclerotherapy.