摘要
目的对121例食管静脉曲张内镜下套扎治疗的患者行回顾性分析,并比较不同套扎法的优缺点及套扎疗效与肝功能等因素的关系,以寻找更为简便,疗效更确切的食管静脉曲张的治疗方法.方法121例患者中,其中30例行Olympus尼龙圈结扎法,50例行日本注气式秋田静脉曲张结扎器(MD-487-9)治疗,41例行Wilson-Cook六连环套扎设备治疗.结果根据疗效判定标准,急性活动性出血控制32例(83.0%),其中19例应用六连环法,8例应注气式结扎法,6例应用尼龙圈结扎法,其余中转其它治疗.结扎后近期再出血3例,远期再出血21例,其中肝功能Child C级12例,Child B级9例.共EV根治98例(81.0%).其中Child A23例,Child B72例,包括接受EVL治疗4次者65例,2～3次者33例.结论EVL操作简便、并发症少,仍为内镜治疗EV的首选方法,不同套扎方法各有优缺点,可根据患者情况酌情选择.套扎疗效与肝功能分级及治疗次数密切相关.
Objective To evaluate the clinical effect on endoscopic variceal ligation by treating 121 patients Methods 30 patients were treated by Nylon loop ligator from Olympus. 50 ones were treated by Pneumd-active ligator and six-band ligator from Wilson-cook was applied to 41 patients. Result According the standard of efficacy, 32 patients with acute bleeding were controled on 32 patients,among them,19 ones were treated by six-band ligator,8 were treated by Pneumdactive ligator and 6 were treated by Nylon loop ligator. After the first ligation,rebleeding occured in 3 patients before 72 hours and in 21 ones between 2-36 months. 98 patients were completely cured, among them, 65 were treated for 4 times, 33 for twice or 3 times. Conclusion The operation of endoscopic variceal ligation is safe and feasible. It is the first choice for treating the patients with esophageal varices.
出处
《肝胆外科杂志》
2005年第4期283-284,共2页
Journal of Hepatobiliary Surgery
