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目的探讨对食管胃底静脉重度曲张患者采用医用组织胶“夹心”注射法联合多连环套扎的配合技巧和安全性。方法回顾性总结46例食管胃底静脉重度曲张患者在采用胃镜检查的基础上,先在胃底曲张静脉处将已备好的高渗糖与医用组织胶采用“夹心”法注射,然后胃镜退至食管再采用多连环套扎器行食管重度曲张静脉套扎术,探讨配合技巧,评价安全效果。结果 46例患者中注射1个点41例,2个点5例,2个点全部注射共用1个注射针,治疗操作过程顺利,均未发生堵针和术中出血等严重并发症,出院1周后发生再出血1例(2.17%)。结论掌握术中配合技巧,顺利完成内镜下胃底静脉曲注射术和食管曲张静脉张套扎术是安全可行的。
Objective To explore the cooperation skills and safety of medical tissue glue “sandwich ” injection combined with multi-ligation in patients with esophageal varices. Methods A retrospective review of 46 cases of esophageal varices with esophageal varices based on gastroscopy was performed by injecting the prepared hypertonic sugar and medical tissue glue by “sandwich” method at the fundus varicose veins and then Endoscopic esophageal re-use of multi-link ligation of esophageal varicose vein ligation, to explore with the skills to evaluate the safety effect. Results In 46 patients, 41 patients were injected at 1 point and 5 patients were at 2 points. All 2 injection points shared 1 injection needle. The operation procedure was smooth and no serious complications such as occlusion and intraoperative bleeding occurred. Rebleeding occurred in 1 week (2.17%). Conclusions It is safe and feasible to master the intraoperative and intraoperative techniques and successfully complete endoscopic varicose veins and varicose vein ligation.