金瑞 汪俊滔 王法成 100054 北京佑安医院(金瑞 汪俊滔)，北京煤碳总医院(王法成) 中华肝脏病杂志 1998 0 0 2


    关键词：食管静脉曲张 硬化剂 结扎 栓塞 期刊 zhgzbzz 0 门脉高压专栏 fur -->


    

【摘要】 目的 总结364例肝炎后肝硬化合并食管静脉曲张破裂出血患者进行内镜下介入疗法的经验。 方法 内镜下采用5%鱼肝油酸钠(SM)或1%乙氧硬化醇(AS)进行食管静脉曲张硬化治疗(EVS)，六连发圈套器结扎治疗(EVL)和医用TH胶或凝血酶食管静脉内栓塞治疗(EVE)。 结果 三种介入方法平均急诊止血率为89.9%；食管静脉消失率为77.2%。 结论 内镜下介入疗法是控制食管静脉曲张出血，消除食管静脉曲张的有效方法，操作较容易，再出血率较低；EVL可替代EVS作为食管静脉曲张破裂出血首选方法。EVE法有异位栓塞之虑，目前暂不宜广泛开展。

    

ENDOSCOPIC THEARPY ONESOPHAGEAL VARICES BLEEDING IN PATIENTS WITH CIRRHOSIS

Jin Rui, Wang Juntao, Wang Facheng. Dept. of Gastroenterology, Beijing Youan Hospital, Beijing 100054

【Abstract】 Objective Toevaluate the effect of endoscopic interventional treatment feature 364 patients withesophageal varices bleeding were analysed. Methods Esophageal varices sclerotherapy(EVS) was conducted with 5% Sodium Morruate(SM) or 1% Aethoxysklerol(AS); Esophegeal varices ligation (EVE) was completedwith six shooter multi-band ligator and esophgeal varices emblism (EVE) was treated withTH or thrombin. Results After first procedure, the emergent hemostatic rate of EVS, EVL andENE was 89.9%; the rate of variceal eradication was 77.2%. Conclusions EVSand EVL are two effective therapeutic method for esophgeal varices bleeding with wideindication, operative facility and safety.

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