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目的:探讨采用内镜套扎术治疗肝硬化合并食管静脉曲张患者的短期疗效及术后并发症。方法:63例肝硬化患者经过常规胃镜检查已确诊食管静脉曲张,随后在胃镜下对食管静脉曲张进行急诊、择期套扎,其中12例食管静脉曲张破裂出血患者行急诊胃镜检查并于胃镜下行食管静脉曲张套扎治疗,51例择期行内镜食管静脉曲张套扎治疗。63例患者均于术后4周复查胃镜,并评价套扎术后并发症。结果:54例(85.7%)食管静脉曲张程度均明显减轻,其中9例(14.3%)患者食管静脉曲张完全消失。术后出现胸骨后疼痛49例(77.8%),吞咽困难12例(19.0%),发热8例(12.7%),术后出血5例(7.9%)。63例患者术后4周均未发生死亡。结论:内镜食管静脉曲张套扎术是一种临床上治疗肝硬化食管静脉曲张有效和安全的治疗措施。
Objective: To investigate the short-term efficacy and postoperative complications of endoscopic ligation in patients with cirrhosis and esophageal varices. Methods: Sixty-three patients with cirrhosis were diagnosed with esophageal varices by conventional gastroscopy. The esophageal varices were treated with emergency endoscopy and ligation under endoscopy. Eighteen patients with esophageal variceal bleeding underwent emergency endoscopy and endoscopic esophagectomy Varicose vein ligation, 51 cases of endoscopic esophageal varices ligation. Sixty-three patients underwent endoscopy 4 weeks after operation and evaluated the complications after ligation. Results: In 54 cases (85.7%), the degree of esophageal varices was significantly reduced, of which esophageal varices disappeared in 9 cases (14.3%). There were 49 cases (77.8%) with post-sternal pain, 12 cases (19.0%) with dysphagia, 8 cases (12.7%) with fever, and 5 cases (7.9%) with postoperative bleeding. None of 63 patients died after 4 weeks. Conclusion: Endoscopic esophageal varices ligation is an effective and safe treatment for the treatment of esophageal varices in cirrhosis.