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该文报告应用内镜下静脉结扎术治疗门静脉高压症所致食道静脉曲张出血４１例。其中２２例活动性出血者结扎后２１例出血停止，即刻止血率９５．４５％，３３例食道静脉曲张完全清除或减轻至Ⅱ度以下，有效率８０．４９％。２５例在结扎治疗前后用彩色多普勒监测门静脉系统血流变化。门静脉血流量、脾静脉血流量、肠系膜上静脉血流量的术前术后变化无显著性差异（Ｐ＞０．０５）。此方法能阻断胃左静脉－奇静脉－腔静脉这条出血性侧枝，从而控制或预防食道静脉曲张出血。对门静脉系统血流量无明显影响，对肝功能无损害。该法疗效肯定、安全，操作简单，适应证广泛，是对肝功能不良不能耐受手术者或开腹手术后复发出血者的最佳治疗方法之一。该方法不能减低门静脉阻力也不能改善门静脉高血流状态，故有与时间延长相伴增长的较高复发率，强调定期随诊和跟踪治疗
This article reports the application of endoscopic vein ligation in the treatment of portal hypertension caused by esophageal varices bleeding in 41 cases. Twenty-two patients with active hemorrhage stopped bleeding immediately after ligation, with immediate hemostasis rate of 95.45%. 33 cases of esophageal varices were completely eliminated or reduced to degree II, with an effective rate of 80.49%. Twenty - five patients were monitored by color Doppler before and after ligation for portal vein blood flow changes. The changes of portal vein blood flow, splenic vein blood flow and superior mesenteric vein blood flow had no significant difference (P> 0.05). This method can block the gastric left ventricle - azygous - vena cava hemorrhagic collateral, thereby controlling or preventing esophageal variceal bleeding. No significant effect on the portal vein blood flow, no damage to liver function. The method of affirmation, safety, simple operation, a wide range of indications, is one of the best treatment of liver dysfunction can not tolerate surgery or recurrence of bleeding after open surgery. The method can not reduce the resistance of the portal vein can not improve the status of portal hypertension, so there is a high recurrence rate associated with prolonged growth, emphasizing regular follow-up and follow-up treatment