摘要
目的对内镜治疗肝硬变并食管静脉曲张出血(EVB)的两种方法进行比较。方法 EVB患者30例,随机分成2组。一组单做食管曲张静脉结扎(EVL)(n=15);另一组做EVL(平均2次),后再做内镜注射硬化疗法(EIS)组,全部采取自由法(n=15)。两组EV消失率和再出血率随访3个月加以对比。结果 EV消失率和再出血率在EVL组分别为40.0%和26.3%,而在EVL+EIS组分别为80.0%和6.6%,两组间差异非常显著(P<0.01)。结论 EVL后EIS治疗EVB更有效。
AIMS Two methods of endoscopic treatments for liver cirrhosis with esophageal variceal bleeding (EVB) were compared. METHODS Thirty patients with EVB underwent endoscopic treatment in a randomized trial. One group (n=15) was treated with only endoscopic variceal ligation (EVL) and the other group (n=15) with EVL, first (average mumber of 2 sessions), and then endoscopic injection sclerotherapy(EIS). Both groups were follow-up for 3 months to compare their efficacy (varix disappearance and rebleeding rate). RESULTS The disapperance rate and rebleedibing rate of varices in the EVL group were 40.0% and 26.3% respectively, while in the EVL + EIS group, 80.0% and 6.6% respetively, with significant difference (P<0.01). CONCLUSIONS EVL followed by EVS is mucg beffer in EVB.
关键词
食管静脉曲线
结扎
硬化疗法
esophageal and gastric varivces/therapy sclerotherapy
edoscopy
