注射硬化剂治疗食管胃底静脉曲张破裂出血的疗效和追踪观察

Follow a Trail of Varcosclerosation of Esophagcal and Gastricfundus Varices Bleeding

本文报告58例肝硬化合并食管胃底静脉曲张破裂出血(EVB)注射硬化剂治疗及治疗后6年疗效的追踪观察。治疗成功率为96.6％,两年存活率为78％;6个月至1年再出血率为20％(8/40),中、重度静脉曲张再现率为35.0％(14/40);2年内再出血率为9.7％(3/31),中、重度静脉曲张再现率为58％(18/31)。定期复查并予以预防性治疗可降低再出血率及曲张静脉再现率。

58 cases of varcosclerosation of cirrhosis with esophageal and gastricfundus varices bleeding and following a trail for six years were reported by this article. The successful rate was 96. 6%. The survival rate for two years was 78%.The rate of repeated bleeding was 20%, seperately from six months to one year and after two years. The reappearence rate of middle and serious grade varices was 35%,58% in turn. So prevention therapy could reduced the rate of repeated bleeding and reappearence of varices following periodic inspection.