经内镜注射硬化剂治疗食管静脉曲张的临床价值

Clinical value of endoscopic sclerotherapy for esophageal varices bleeding

目的评价应用硬化剂治疗食管静脉曲张破裂出血的临床效果及安全性。方法114例肝硬化门脉高压并发食管静脉曲张患者，非随机施行三种治疗方法。其中78例为经内镜注射硬化剂组，该组中46例系活动性出血行急诊注射治疗，32例为预防出血治疗。结果急诊注射治疗44例出血终止。78例患者随访1—5年，再发生曲张静脉破裂出血率为7．7％，曲张静脉消失率83％。结论经内镜注射硬化剂治疗食管静脉曲张破裂出血方法简单、安全、有效。

Objective To evaluate the clinical therapy effect of sclerosing agent and its safety on treatment of the patients with hemorrhage from esophageal variees. Methods The total of 114 patients with hemorrhage from variees were treated by three methods randomly. Among them, the number of groups of sclerosing agent, emergency treatment and prevential treatment were seventy-eight,forty-six and thirty - two respectively. Results There were forty-four emergency eases treatend by hemostasis. The positive bleeding rate of the patients with hemorrhage from esophageal variees after treatment and follow - up survey from one year to five years was 7.7%. The disappearance rate of varicose vein was 83%. Conclusion With the help of endoscope, the method of sclerosing agent on treatment of the patients with hemorrhage from esophageal varices was simple, safe and reliable.