内镜食管静脉曲张套扎术的短期疗效和安全性分析

The short- term effect and saftety analysis of endoscopic esophageal variceal ligation

目的:探讨采用内镜套扎术治疗肝硬化合并食管静脉曲张患者的短期疗效及术后并发症。方法:63例肝硬化患者经过常规胃镜检查已确诊食管静脉曲张,随后在胃镜下对食管静脉曲张进行急诊、择期套扎,其中12例食管静脉曲张破裂出血患者行急诊胃镜检查并于胃镜下行食管静脉曲张套扎治疗,51例择期行内镜食管静脉曲张套扎治疗。63例患者均于术后4周复查胃镜,并评价套扎术后并发症。结果:54例(85.7%)食管静脉曲张程度均明显减轻,其中9例(14.3%)患者食管静脉曲张完全消失。术后出现胸骨后疼痛49例(77.8%),吞咽困难12例(19.0%),发热8例(12.7%),术后出血5例(7.9%)。63例患者术后4周均未发生死亡。结论:内镜食管静脉曲张套扎术是一种临床上治疗肝硬化食管静脉曲张有效和安全的治疗措施。

Objective To investigate the short term effect and postoperative complications of endoscopic variceal ligation on esophageal varices in cirrhotic patients. Method 63 eases with esophageal vat＇ices due to liver cirrhosis were diagnosed by endoscopy, then they underwent endoscopic variceal ligation for emergency treatment and selective treatment, 12 eases of esophageal varJceal bleeding underwent emergency examination and treatment by endoscopy, and 51 cases underwent selective endoscopic varlceal ligation. 63 cases underwent esophageal variceal ligation followed up endoscopy 4 weeks after the treatment. Results The extent of varicosis reduced significantly in 54 cases （85.7%）. The varicose vein disappeared in 9 patients. In these patients,49 cases（77. 8% ） appeared substernal pain,12 cases（ 19. 1% ） appeared dysphagia,8 cases（ 12. 7% ） appeared fever,5 cases（7.9% ） appeared bleeding of post - operation. 63 cases did not died in 4 weeks after the treatment. Conclusion Endoscopic variceal ligation is an effective procedure for the treatment of esophageal varices in cirrhotic patients.