摘要
目的观察密集套扎法与螺旋形套扎法治疗食管静脉曲张(EV)的疗效。方法将EV病例分成密集套扎组(密集组)与螺旋形套扎组(螺旋组)。密集组于贲门口齿状线以上2～3cm开始套扎,每条静脉顺序向上尽量多点套扎;螺旋组自齿线开始,自下而上每隔2～3cm沿四周曲张静脉呈螺旋形选点套扎。分别治疗1～2次,术后随访6个月。结果密集组平均每例套扎1.6次,16.3个点,螺旋组分别为1.8次,10.5个点;密集组急诊止血率94.74%,术后并发症发生率25.71%,死亡率5.71%;螺旋组分别为94.44%,24.24%,9.09;(P>0.05)。密集组总有效率88.57%,EV复发率11.43%,再出血率2.86%,螺旋组分别为66.67%、33.33%、18.18%,(P<0.05)。结论密集套扎法在EV总有效率、EV复发率、再出血率方面优于螺旋形套扎法。
Objective To compare the difference between endoscopic dense ligation （DL） and spiral ligation （SL） on esophageal varices. Methods Patients of esophageal varices were divided into two groups and were treated by DL（DL group） or SL （SL group）, respectively. DL treatment requires ligating points be gathered as many as possible upwards from 2 - 3 cm above anocutaneous line of cardia; while for SL, ligating points be selected and ranged every other 2 - 3 cm in the shape of spiral, right start anocutaneous line of cardia upwardly. Patients received the operation once or twice, and they were reexamined 6 months later. Results Patients in DL group, ligation was performed for 1.6 times in average with 16.3 points; while in SL group, it was 1.8 times with 10.5 points. In DL group, the prompt hemostasis rate was 94.74%, the of complication ＇rate was 25.71%, and death rate was 5.71%; in SL group, they were 94.44%, 24.24%, and 9.09%, respectively （P 〉 0.05）. In DL group, the overall cure rate was 88.57%, recrudescence 11.43%, and rebleeding 2.86%; while in SL group,they were 66.67% ,33.33%, 18.18%, respectively（P 〈 0.05）. Conclusion Dense ligation is more efficient than spiral ligation in elimination of EV, as well as in controlling recrudescence and rebleeding after operation.
出处
《现代消化及介入诊疗》
2009年第3期153-155,共3页
Modern Interventional Diagnosis and Treatment in Gastroenterology
