论文部分内容阅读
目的观察内镜下食管静脉曲张结扎术治疗食管静脉曲张破裂出血的长期疗效。方法采用Wilson Cook或Microvasive多环结扎器 ,对58例食管静脉曲张破裂出血患者进行了内镜下结扎治疗 ,并随访观察50个月。结果食管静脉曲张完全根除率为77.6 % ,非完全根除率为22.4 %。随访50个月 ,静脉曲张复发率为44.8 % ,复发时间多于治疗后5～24个月。再出血率和死亡率分别为24.1 %和22.4 %。结论食管静脉曲张结扎术是一种治疗食管静脉曲张破裂出血的有效方法 ,但长期疗效观察静脉曲张复发率较高 ,需进一步改善远期疗效。
Objective To observe the long-term efficacy of endoscopic esophageal variceal ligation in the treatment of esophageal variceal bleeding. Methods Fifty-eight patients with esophageal variceal bleeding underwent endoscopic ligation with Wilson Cook or Microvasive multi-ring ligation and were followed up for 50 months. Results The total eradication rate of esophageal varices was 77.6% and the rate of incomplete eradication was 22.4%. Follow-up 50 months, the recurrence rate of varicose veins was 44.8%, the recurrence time more than 5 to 24 months after treatment. The rates of rebleeding and death were 24.1% and 22.4%, respectively. Conclusion Esophageal varices ligation is an effective method for the treatment of esophageal variceal bleeding, but the long-term efficacy of varicose veins recurrence rate is high, the need to further improve long-term efficacy.