内镜套扎法治疗食管静脉曲张的疗效

EFFECTS OBSERVATION OF ENDOSCOPIC LIGATION IN PATIENTS WITH ESOPHAGEAL VARICES

观察内镜套扎法治疗食管静脉曲张的疗效。方法对４９例食管静脉曲张病人进行内镜套扎治疗，并与同期行硬化剂（１％乙氧硬化醇）治疗的３０例病人作对比分析。结果套扎治疗组与硬化剂治疗组治愈率分别为７１．４％和６６．７％，总有效率均为１００％。套扎治疗组４．１％出现术中或术后出血，而硬化剂治疗组术中或术后出血率为４０．０％；套扎治疗组与硬化剂治疗组食管溃疡发生率分别为８．２％和４０．０％。结论内镜套扎法治疗食管静脉曲张疗效好、并发症少，是一种较理想的治疗方法。

PURPOSE To observe the efficacy and complications of endoscopic ligation for esophageal varices. METHODS Forty nine patients with esophageal varices were treated with endoseopic ligation and 30 patients of the same disease, with endoscopic sclerotherapy (1% aethoxysklerol). The efficacy and complications were compared between these two treatment groups. RESULTS No significant differences was found between the ligation and the sclerotherapy group in cure rate (71.4% vs 66.7%) and total effective rate (100% vs 100%). However, bleeding was found in 4.1% of the ligation group and 40% of the selerotherapy group during or after the procedure. The ineidence of esophageal ulcer was 8.2% and 40% respectively. CONCLUSIONS High cure rate and few complications were found in endoscopic ligation for patients with esophageal varices. Thus, endoscopic ligation is a relatively ideal therapeutic method for esophageal varices.