食管静脉曲张破裂出血是肝硬化门静脉高压常见的严重并发症。急诊手术和药物治疗的疗效至今尚难令人满意。近年来采用胃镜食管静脉曲张结扎术(EVL)附加胃镜硬化剂注射治疗(EIS)取得了满意效果。自1991年1月我院开始应用EVL和EIS联合治疗重度食管静脉曲张,至1995年10月共已治疗102例。报告如下。 1 材料和方法本组102例,男性77例,女性25例。年龄10～78岁,平均48岁。引起门静脉高压、食管静脉曲张的原因:肝炎后肝硬变65例(63.7%),血吸虫性肝硬变25例(24.5%),酒精性肝硬变4例(3.9%),胆汁性肝硬变3例(2.9%),原因不明者5例(4.9%)。肝功能按Child分级,A级4例(3.9%),B级25例 Esophageal variceal bleeding is a common and serious complication of portal hypertension in cirrhosis. The efficacy of emergency surgery and medical treatment is not yet satisfactory. In recent years, the use of endoscopic esophageal varices ligation (EVL) plus gastroscope sclerotherapy (EIS) achieved satisfactory results. Since January 1991, our hospital began to apply EVL and EIS combined treatment of severe esophageal varices, to October 1995 a total of 102 cases have been treated. The report is as follows. 1 Materials and Methods The group of 102 patients, 77 males and 25 females. Ages 10 to 78 years old, average 48 years old. Causes of portal hypertension, esophageal varices: 65 cases of posthepatitic cirrhosis (63.7%), 25 cases of schistosomiasis cirrhosis (24.5%), alcoholic cirrhosis in 4 cases (3.9%), biliary cirrhosis 3 cases (2.9%), 5 cases (4.9%) of unknown cause. Liver function classification by Child, A grade in 4 cases (3.9%), B grade in 25 cases