论文部分内容阅读
1 材料和方法1.1 材料本院1996/1998年间收治的39例食管静脉曲张破裂出血患者,男32例,女7例,平均年龄46.6岁±12.9岁(26～67)岁.肝功能按 Child-Pugh 分级为 A 级1例,B 级20例,C 级18例.食管静脉曲张程度按轻、中、重度分级为中度8例,重度31例.合并胃底中度静脉曲张者8例,重度曲张者10例,另4例因胃腔内大量新鲜出血未能确定胃底有无曲张.1.2 方法采用 Olympus GIF-XQ20型纤维内镜、100型和230型电子内镜、结扎器为 Wilson-Cook 公司6环(36例)或Microvasion 公司5环(3例)结扎治疗.本组结扎方法为从齿状线以上开始,同一水平面内结扎3～4条静脉,每条静脉一个
1 Materials and Methods 1.1 Materials 39 cases of esophageal variceal bleeding in our hospital from 1996 to 1998, 32 males and 7 females, mean age 46.6 years ± 12.9 years (26 to 67 years old.) Liver function according to Child- Pugh grade A grade in 1 case, grade B in 20 cases, grade C in 18. Esophageal varices according to light, moderate and severe grading for the moderate in 8 cases, severe in 31 cases with moderate fundic varices in 8 cases, Severe varicosis in 10 cases, and the other 4 cases due to a large number of fresh gastric bleeding can not determine the presence of gastric varices.1.2 Methods Olympus GIF-XQ20 fiber endoscopy, 100 and 230 electronic endoscopy, ligation of Wilson Cook Company 6 ring (36 cases) or Microvasion Company 5 ring (3 cases) ligation treatment .The group ligation method starting from the dentate line above the same level ligation of 3 to 4 veins, one for each vein