食道静脉曲张内镜下结扎术(endoscopic variceal ligation EVL)是近年来开展的一种新技术。我们在标准结扎法的基础上又尝试了密集结扎法,由标准的4～5个结扎点增加到9～15点或以上。我科胃镜室在1996年2月～1998年2月两年内,采用EVL治疗肝硬化食管静脉曲张破裂出血患者80例,其中58例采用了密集结扎法,与同期实施的标准结扎法治疗者进行对照,结果报告如下。 1 资料与方法 1.1 一般资料 患者均系确诊的肝炎后肝硬化住院病人。结扎治疗密集组(密集组)58例,男50例、女8例,年龄35～69岁,平均51.9岁。按照Palmar分类重度食管静脉曲张42例,中度8例,轻度5例。肝功能child分级:A级8例,b级 Endoscopic variceal ligation (endoscopic variceal ligation EVL) is a new technology developed in recent years. Based on the standard ligation method, we tried the intensive ligation method, which increased from 4 to 5 standard ligation points to 9 to 15 points or more. My department gastroscopy room in February 1996 ~ February 1998 within two years, the use of EVL in patients with cirrhosis of esophageal variceal bleeding in 80 cases, 58 cases of intensive ligation method, with the implementation of the standard ligation of the same period Control, the results reported below. 1 Materials and Methods 1.1 General Information Patients are diagnosed with hepatitis cirrhosis inpatients. Ligation treatment intensive group (dense group) 58 cases, 50 males and 8 females, aged 35 to 69 years, mean 51.9 years. According to Palmar classification 42 cases of esophageal varices, moderate in 8 cases, mild in 5 cases. Liver function child grading: A grade in 8 cases, b grade