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随着内镜及其辅助器械的开发应用,内镜下治疗性操作发展迅速,其中内镜下食管静脉曲张结扎术(EVL)国内自1990年开始应用于临床,因其具有操作手法简便、安全可靠的优点,在国内迅速普及。但原先使用的结扎器每次插镜只能套扎一条曲张的静脉,对绝大多数食管静脉曲张的患者,往往需要多次反复插镜,痛苦较大。因此,美国Microvasive和Willson Cook公司近期推出5连发和6连发结扎器。笔者自1996年开始应用Witlson Cook公司的6连发结扎器共4例,现将应用及体会简介如下。
With the development and application of endoscopy and its auxiliary instruments, endoscopic treatment of the rapid development of therapeutic operations, including endoscopic esophageal varices ligation (EVL) has been applied to clinical since 1990, because of its operational simplicity, safety Reliable advantages, rapid popularity in the country. However, the original use of the ligation of each insert lens can only ligation of a varicose veins, the vast majority of patients with esophageal varicose veins, often need repeated insert mirror, painful. As a result, Microvasive and Willson Cook in the United States recently introduced 5 bursts and 6 bursts of ligators. The author since 1996, Witlson Cook company’s application of 6 consecutive hair ligation a total of 4 cases, now the application and experience are as follows.