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本文应用连发式“O”形橡皮圈对32例食管静脉曲张破裂出血(EVB)者进行内镜下套扎术(EVL)。结果表明:连发式套扎器结扎术操作安全、简单,病人耐受性及可重复性好,患者宜接受。在20个月的应用随访中,32例EVB患者进行了44例次的EVL,平均每例结扎4~12环,静脉曲张消失和减轻,总有效率达92%。4例经内科治疗无效的EVB患者进行紧急EVL治疗均止血成功,EVL可用于抢救静脉曲张大出血的患者。
In this paper, 32 consecutive cases of esophageal variceal bleeding (EVB) underwent endoscopic ligation (EVL) with a continuous “O” rubber band. The results showed that: Ligation of ligature ligation operation safe, simple, patient tolerance and repeatability, patients should accept. During the 20-month follow-up, 32 patients with EVB underwent 44 EVLs, with an average of 4 to 12 rings per ligation, disappearance and reduction of varices, with a total effective rate of 92%. Four patients with EVB who were ineffective in medical treatment were successfully treated with EVL, and EVL could be used to rescue patients with massive variceal bleeding.