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目的:评估内镜下单点注射组织胶治疗胃底静脉曲张的近期疗效,并印证内镜下GEV1型胃底曲张静脉血流方向的理论.方法:GEV1型胃底静脉曲张进行组织胶注射治疗,注射点选在贲门旁小弯侧曲张静脉,进行单点注射.静脉内注射后观察1-10min,2wk内进行内镜复查.结果:胃底静脉曲张组织胶治疗后静脉均固化,部分静脉明显消失.胃底曲张静脉栓塞率100%(32/32).注射点黏膜糜烂发生率6.2%(2/32).结论:内镜下GEV1型胃底静脉曲张血流方向确实是从贲门旁小弯侧流向大弯侧.由静脉起始部位单点注射组织胶治疗,疗效显著.
OBJECTIVE: To evaluate the short-term efficacy of single point injection of tissue glue under endoscopy for the treatment of gastric varices and to confirm the theory of endoscopic variceal flow in patients with GEV type 1. Methods: GVV was administered by GEV1 type gastric fundus varices , Injection spot on the side of the cardia next to a small curvature of the varicose vein for single point injection after intravenous injection observed 1-10min, 2wk for endoscopy.Results: After treatment of gastric varicose vein glue cured, part of the vein Obviously disappeared.The incidence rate of gastric variceal embolism was 100% (32/32) .The incidence of mucosal erosion at injection site was 6.2% (2/32) .Conclusion: The direction of GEV1 gastric fundus varices is indeed from the cardia Small bend side of the flow to the greater curvature side by the venous site of single point injection of tissue glue treatment, significant effect.