胃镜套扎与保守治疗肝硬化合并胃底静脉曲张出血的对比分析

Comparative Analysis on Gastroscopic Ligation Treatment and Conventional Treatment for Liver Cirrhosis Complicated by Gastric Variceal Bleeding

目的 对肝硬化合并胃底静脉曲张出血应用胃镜套扎与保守治疗的临床效果进行对比分析。方法 选取于2013年1月-2014年6月期间在我院接受治疗的肝硬化合并胃底静脉曲张出血患者102例,并随机分为参照组（50例）和实验组（52例）,对分别应用保守治疗和胃镜套扎治疗的效果进行对照研究。结果 实验组患者的静脉曲张消失率明显高于参照组[73.08%vs.36.00%],静脉曲张复发率明显低于参照组[5.77%vs.22.22%],再出血率明显低于参照组[13.46%vs.30.00%],差异有统计学意义（P〈0.05）。结论 肝硬化合并胃底静脉曲张出血应用胃镜套扎治疗的临床效果显著优于保守治疗,值得大力推广。

Objective To discuss clinical effects of gastroscopic ligation treatment and conventional treatment for liver cirrhosis complicated by gastric variceal bleeding are comparatively analyzed. Methods From January 2013 to June 2014, 102 patients with liver cirrhosis complicated by gastric variceal bleeding who were treated in our hospital were divided into control group （50 patients） and study group （52 patients） randomly; and then compare conventional treatment effect to gastroscopic ligation treatment effect between two groups. Results Patients’ variceal symptom disappeared rate in study group was much higher than that in control group [73.08%vs. 36.00%], but varicosity reoccurrence rate was much lower than that in control group [5.77% vs. 22.22%] and re-bleeding probability was lower in study group compared to that in control group [13.46% vs. 30.00%];such differences between two groups were statistically significance （P〈0.05）. Conclusion Gastroscopic ligation treatment is more effective for patients with liver cirrhosis complicated by gastric variceal bleeding than conventional treatment, thus, such a treatment method is quite worthwhile to be promoted widely.