文档介绍：食管静脉曲张破裂出血内镜下结扎治疗远期疗效
作者:黄裕新,闻勤生,张少玲,穆琳
【关键词】内镜结扎
关键词: 内镜结扎;食管和胃静脉曲张;肝硬化;消化道出血
摘要:目的作者多年采用内镜下结扎治疗食管静脉曲张(EVL),研究远期疗效及并发症. 方法住院肝硬化合并中重度食管静脉曲张破裂出血患者105例,,6mo,;6mo以上结果作为远期疗效评价. 结果静脉曲张近期根治率及总有效率分别为80%和86%.6mo后共随访到75例,其远期根治率及总有效率分别为51%和77%,与近期疗效比较有显著性差异(P<).而近期与远期再出血率及死亡率比较,无显著变化(P>). 结论 EVL近期疗效确切,,常需重复行EVL治疗或进行手术治疗.
Keywords:endoscopic ligation;esophagus and gastric varix;liver cirrhosis;hemorrhage of digestive tract
Abstract:AIM To make a follow-up study of endoscopic esophagus varix ligation(EVL)cases in the past several years and evaluate their long-term effectiveness plica┐ 105hospitalized patients of hepato-cir-rhosis with moderate and serious hemorrhagic varix of esoph-agus underwent EVL at72h after bleeding or at a time when no bleeding was -up study and gastroscopy were made of the patients at4weeks,6months,1year and2 years after the of the follow-up observations at4weeks were classified as evaluation of short-term effective-ness;and those at6months or later were classified as evalua-tion of long-term Short-term and total cure rates of esophagus varix were80%and86%re- were followed up at6months,whose long-term and total cure rates were51%and77%respective- was a significant differen