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目的探讨内镜下套扎治疗肝硬化食管静脉曲张的疗效。方法对43例食管静脉曲张破裂出血的患者分别行内镜下食管静脉曲张套扎术(EVL)和内科保守治疗。结果食管静脉曲张套扎术治疗有效率85%,再出血率20%,存活率80%,内科保守治疗组无静脉曲张消失或缩小,再出血率73.9%,存活率47.8%。结论EVL操作简单、疗效可靠、止血率高、静脉曲张消失快、并发症少,是治疗EVB的有效手手段之一。
Objective To investigate the efficacy of endoscopic ligation in the treatment of cirrhosis esophageal varices. Methods 43 patients with esophageal varices bleeding underwent endoscopic esophageal varicose vein ligation (EVL) and medical conservative treatment. Results The efficacy rate of esophageal variceal ligation was 85%, the rate of rebleeding was 20% and the survival rate was 80%. The conservative treatment group had no varicose veins disappeared or reduced, the rate of rebleeding was 73.9% and the survival rate was 47.8%. Conclusion The operation of EVL is simple and reliable, the hemostatic rate is high, disappearance of varicose veins disappears rapidly and there are few complications. It is one of the effective means of treating EVB.