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目的 :探讨食道静脉曲张的经内镜技术治疗方法。方法 :选自我院 1987年 3月～ 1999年 3月采用内镜下食道静脉曲张硬化剂注射疗法 (ES)、内镜下食道静脉曲张套扎疗法 (EVL)、ES与EVL联合疗法治疗食道静脉曲张 398例 (伴有活动性出血 39例 )。结果 :ES治疗 144例 ,有效率 96 .5 % ,活动期止血率 10 0 % ,再出血率 9.0 3%。并发症率 11.8% ,生存率 95 .8%。EVL治疗 2 41例 ,有效率 96 .6 8% ,活动期止血率 90 % ,再出血率 10 .79% ,并发症率 0 .41% ,生存率 96 .3%。ES与EVL的联合疗法 13例 ,并发症率 15 .4% ,无复发病例。结论 :食道静脉曲张的内镜治疗具有创伤小、止血效果好 ,预防反复出血及减轻静脉曲张程度的作用 ,是一种安全、可靠的方法。
Objective: To explore the endoscopic treatment of esophageal varices. Methods: From March 1987 to March 1999, we performed endoscopic esophageal variceal sclerotherapy (ES), endoscopic esophageal varicose vein ligation (EVL), ES and EVL combined with esophageal varices Varicose 398 cases (with active bleeding in 39 cases). Results: Among 144 cases treated with ES, the effective rate was 96.5%, the rate of hemostasis was 100% and the rate of rebleeding was 9.0 3%. The complication rate was 11.8% and the survival rate was 95.8%. There were 241 cases with EVL, 96.68% efficient, 90% active hemostasis, 10.79% rebleeding, complication rate 0.41%, and survival rate 96.3%. Thirteen patients were treated with combination therapy of ES and EVL, with a complication rate of 15.4% with no recurrence. Conclusion: Endoscopic treatment of esophageal varices is a safe and reliable method with less trauma, better hemostatic effect, prevention of repeated bleeding and reduction of varicose veins.