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目的对比并评价双腔与单腔道内窥镜下急症硬化剂治疗食管静脉破裂出血的临床疗效。方法523例肝硬化食管静脉曲张出血的病人分为2组,双腔组203例,单腔组320例,共治疗次数667次,分别观察急症止血率、注射部位再出血发生率、曲张静脉消失率等指标。结果在双腔组和单腔组中急诊止血率分别为95.1%和93.7%,2组无显著性差异。曲张静脉消失率分别为61.5%和86.3%,两者有显著性差异(P<0.05)。再出血率分别为6.5%和2.5%,两者有显著性差异(P<0.05)。结论在治疗食管静脉出血中双腔内镜治疗组优于单腔内镜治疗组。
Objective To compare and evaluate the clinical efficacy of acute and chronic sclerosing agents in the treatment of esophageal variceal bleeding with double-lumen and single-lumen endoscope. Methods 523 patients with esophageal variceal bleeding of liver cirrhosis were divided into two groups, 203 in the double chamber group and 320 in the single chamber group. The total number of treatment was 667. The rate of hemostasis, the rate of rebleeding at the injection site and disappearance of varicose veins Rate and other indicators. Results The rates of emergency hemostasis were 95.1% and 93.7% in the double-lumen group and the single-lumen group respectively. There was no significant difference between the two groups. The disappearance rates of varicose veins were 61.5% and 86.3% respectively, with significant difference (P <0.05). The rates of rebleeding were 6.5% and 2.5%, respectively, with significant difference (P <0.05). Conclusion In the treatment of esophageal variceal bleeding in the double-lumen endoscopic treatment group is better than the single-endoscopic treatment group.