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目的观察内镜下治疗肝硬化门脉高压食管胃底静脉曲张出血临床疗效。方法 64例肝硬化门脉高压食管胃底静脉曲张出血患者随机分为两组,比较观察内镜下治疗肝硬化门脉高压食管胃底静脉曲张出血及应用奥曲肽内科保守治疗的临床疗效。结果两组患者治疗肝硬化门脉高压食管胃底静脉曲张出血有效率分别为:90.63%(29/32),71.88%(23/32);两组数据比较差异有统计学意义(P<0.05),不良反应轻微。结论内镜下治疗肝硬化门脉高压食管胃底静脉曲张出血临床疗效比应用奥曲肽内科保守治疗的临床疗效好,不良反应轻微。
Objective To observe the clinical efficacy of endoscopic treatment of hepatic cirrhosis with portal hypertension and esophageal varices bleeding. Methods Sixty-four patients with portal hypertensive esophageal varices bleeding were randomly divided into two groups. The clinical efficacy of conservative treatment with octreotide was evaluated by endoscopic treatment of hepatic cirrhosis with portal hypertension and esophagogastric variceal bleeding. Results The effective rates of hemorrhage of esophagogastric varices in patients with cirrhosis and portal hypertension were 90.63% (29/32) and 71.88% (23/32) respectively. There was significant difference between the two groups (P <0.05 ), Minor adverse reactions. Conclusion The clinical efficacy of endoscopic treatment of portal hypertension in patients with cirrhosis and esophageal varices bleeding is better than that of conservative treatment with octreotide. The adverse reactions are mild.