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目的:探讨重度食道静脉曲张的有效治疗方法。方法:重度食道静脉曲张但未发生过上消化道出血肝硬化患者103例依照自愿原则进行预防性套扎治疗(63例)或不进行套扎治疗(40例),按肝功能Child-pugh分级A、B、C分别观察疗效。结果:进行预防性套扎患者A级29例患者2年内无1例发生上消化道出血,B级24例患者2年内发生上消化道出血5例,c级10例患者2年内发生上消化道出血4例并死亡;未进行预防性套扎患者A级20例患者2年内发生上消化道出血9例,B级13例2年内发生上消化道出血10例死亡5例,C级7例患者2年内发生上消化道出血7例均死亡。结论:预防性套扎最大限度地防止肝硬化重度食道静脉曲张患者发生曲张静脉破裂出血或延缓首次出血出现的时间,是治疗肝硬化重度食道静脉曲张的安全、可靠的有效方法。
Objective: To explore the effective treatment of severe esophageal varices. Methods: A total of 103 patients with severe esophageal varices who did not have upper gastrointestinal bleeding were enrolled in the prevention group (63 cases) or without ligation (40 cases) according to the voluntary principle. The patients were graded according to Child-pugh classification A, B, C were observed efficacy. Results: Among the 29 patients with grade A, prophylactic ligation did not cause upper gastrointestinal bleeding in one patient within 2 years, 5 patients with upper gastrointestinal bleeding in 24 patients with grade B in 2 years and 10 patients with grade c in upper gastrointestinal tract within 2 years Bleeding in 4 cases and death; without preventive ligation in patients with grade A 20 cases of upper gastrointestinal bleeding within 2 years occurred in 9 cases, B class 13 cases within 2 years of upper gastrointestinal bleeding occurred in 10 cases of death in 5 cases, C Class 7 patients Seven cases of upper gastrointestinal bleeding occurred within 2 years. Conclusion: Preventive ligation to prevent cirrhosis patients with severe esophageal variceal bleeding in patients with variceal bleeding or delay the onset of the first bleeding is a safe, reliable and effective treatment of severe esophageal varices of liver cirrhosis.