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目的:探讨食管静脉曲张的不同内镜治疗方式对门脉高压性胃病的影响。方法:选取2010年12月-2014年12月我院收治的60例需要接受内镜治疗的肝硬化并发食管静脉曲张患者,随机分为套扎组和硬化组,每组各30例,观察比较两组患者治疗前后的门脉高压性胃病的发生率,以及食管静脉曲张程度。结果:治疗3周和3个月后套扎组新增门脉高压性胃病数和严重程度与治疗前比较,差异有统计学意义(P<0.05),而硬化组差异无统计学意义(P>0.05)。硬化组治疗后的食管静脉曲张程度明显优于治疗前和套扎组(P<0.05)。结论:在治疗肝硬化合并食管静脉曲张时,内镜下套扎治疗对门脉高压性胃病的影响比内镜下硬化组更大,因此在临床治疗中需要重点预防。
Objective: To investigate the effect of different endoscopic treatment of esophageal varices on portal hypertensive gastropathy. Methods: Sixty patients with cirrhosis and esophageal varices requiring endoscopic treatment from December 2010 to December 2014 in our hospital were randomly divided into ligation group and sclerotherapy group, 30 cases in each group. The incidence of portal hypertensive gastropathy in both groups before and after treatment, and the degree of esophageal varices. Results: The numbers and severity of portal hypertensive gastropathy in the ligation group after 3 and 3 months of treatment were significantly different from those before treatment (P <0.05), but there was no significant difference in the sclerosis group (P > 0.05). Esophageal varices after sclerotherapy group was significantly better than before treatment and ligation group (P <0.05). Conclusion: In the treatment of cirrhosis complicated with esophageal varices, the effect of endoscopic ligation on portal hypertensive gastropathy is greater than that of endoscopic sclerotherapy group. Therefore, it is necessary to focus on prevention in the treatment of cirrhosis complicated with esophageal varices.