内镜下硬化剂治疗食管静脉曲张出血

Endoscopic scolerotherapy for esophageal varices bleeding

目的探讨内镜下注射硬化剂治疗食管静脉曲张出血的疗效。方法回顾性分析562例食管静脉曲张病例及随访资料，内镜下静脉注射硬化剂（部分加压迫）治疗急性出血424例，预防再出血138例。结果急性出血经一次注射即止血344例（81．1％），仍有出血80例（18．9％），补充注射或压迫后止血;一次或多次硬化剂注射预防性治疗138例，曲张静脉62例完全消失，76例转为轻度;随访3～5年均未再发出血。结论内镜下硬化剂治疗食管静脉曲张急性出血或预防再出血安全、有效。

Objective To evaluate the efficacy and safety of sclerotherapy for esophageal varices. Methods A total of 562 patients of our hospital received the sclerotherapy were retrospectively reviewed. Results Of 562 eases,424 patients（75.4%） were treated for acute bleeding of esophageal varices, 138 patients （24. 6%） for the prevention of recurrent bleeding. Among acute bleeding patients, endoscopic sclerotherapy effectively stopped esophageal variceal bleeding in 344 cases（81.1%）. Eighty patients had bleeding immediately after injection, which was stopped through another injection and tamponade. For the prevention of recurrent bleeding, 138 cases received several times of sclerotherapy. In 62 cases, all varices were obliterated. In 76 cases, esophageal varices become mild. Through 3 to 5 years follow up,no bleeding occured. Conclusion Endoscopic sclerotherapy could effectively and safely stopped active esophageal variceal bleeding.