摘要
目的观察食管静脉曲张破裂出血内镜下不同治疗方法的疗效及安全性。方法 98例肝硬化并食管静脉曲张破裂出血患者,随机分为EVS治疗组(n=29)、EVL治疗组(n=39)及二者联合治疗组(n=30)。通过观察食管曲张静脉消失率、EV复发率及再出血率等指标,比较三者的疗效及安全性。结果 EVS、EVL组和联合治疗组的EV消失率分别为86.2%、87.1%和90%;EV复发率分别为37.9%、35.9%和16.7%;随访3年再出血率为44.8%、35.9%和22.2%(P<0.05)。结论 EVS、EVL均为治疗食管静脉曲张破裂出血的有效方法,但二者联合治疗效果优于单独套扎术和硬化治疗。
Objective To evaluate the efficacy and safety of three treatment methods under endoscopy on esophageal variceal bleeding.Methods Ninety-eight patients with hepatic cirrhosis esophageal variceal bleeding were randomly divided into 3 groups： endoscopy variceal selemthempy（EVS）group（n=29）,endoscopy variceal ligation（EVL）group（n=39）and combined treatment（EVS＋EVL）group（n=30）.The eradition,reoccurrence and rebleeding rate of EV were compared among three groups.Results The rate of eradication of EV was 86.2%,87.1%and 90%in three group;the rate of reoccurrence of EV was 37.9%,35.9%and 16.7%;the rate of rebleeding of EV in three years was 44.8 %;35.9 % and 22.2 %,respectively.The results indicated that the effects in the combined therapy group was better than in EVS group and EVL group（P〈0.05）.Conclusion Both EVS and EVL were effective therapies to esophageal variceal bleeding.Combination of ligation with sclerotherapy is superior to the EVS or EVL alone.
出处
《四川医学》
CAS
2010年第8期1100-1102,共3页
Sichuan Medical Journal
关键词
食管静脉曲张破裂出血
硬化剂治疗
内镜套扎术
联合治疗
esophageal variceal bleeding（EVB）
hardener
endoscopic variceal ligation（EVL）
combined therapy
