目的　五环套扎法与单环套扎法治疗食管静脉曲张出血疗效的对比观察。方法　对 38例肝炎后肝硬化并食管静脉曲张出血患者进行了单环套扎术 (2 0例 ) ,及五环套扎 (1 8例 ) ,并对二种方法进行比较。结果　五环法平均每例套扎次数少于单环法 (1 .56次对 3次 ) ,五环法的静脉曲张消失率明显高于单环法 (88.9%对 65 % ) ,静脉曲张清除的时间明显短于单环法 (2 1 .3d对 36 .2d)。结论　五环法套扎术安全可靠 ,效果确切 ,值得推广应用 Objective To compare the curative effect of five ring ligation and single ring ligation on esophageal variceal hemorrhage. Methods Thirty-eight patients with posthepatitic cirrhosis and esophageal variceal bleeding underwent single-loop ligation (20 cases) and five-ring ligation (18 cases). The two methods were compared. Results The average number of ligation per ring method was less than that of single ring method (1.56 pairs vs 3 times). The disappearance rate of varicose rings was significantly higher than that of single ring method (88.9% vs 65%), varicose vein clearance Was significantly shorter than the monocyclic method (21.3d vs 36.2d). Conclusions Five ring method ligation is safe and reliable, the effect is exact, it is worth popularizing and applying