肝癌合并食管胃静脉曲张破裂出血的内镜治疗

Endoscopic treatment of gastroesophageal variceal hemorrhage combined with hepatic carcinoma

目的评价原发性肝癌合并食管胃静脉曲张破裂出血内镜治疗的安全性和有效性。方法2008年1月至2015年6月，因原发性肝癌合并消化道出血，在解放军总医院及海南分院消化内科行内镜治疗的30例患者纳入回顾性分析，汇总并发症发生情况及内镜治疗效果。结果30例均顺利完成内镜治疗，治疗后至出院时均无再发出血，其中8例曲张静脉基本消失。随访半年，3例再次出现消化道出血，其中1例死亡，其余27例均未再发消化道出血。结论内镜治疗原发性肝癌合并食管胃底静脉曲张破裂出血安全、有效，可为肝癌进～步治疗提供时机。

Objective To evaluate the safety and efficacy of endoscopic treatment in patients with primary hepatic carcinoma and gastroesophageal variceal hemorrhage. Methods Thirty cases of hepatic carcinoma with gastroesophageal variceal hemorrhage diagnosed with gastroscopy between January 2008 and June 2015 in Chinese PLA General Hospital and Hainan branch were included. Patients＇ clinical data, complications and therapeutic effects of endoscopy were retrospectively analyzed. Results All patients underwent endoscopy successfully. No recurrent bleeding was found in any case after treatment. Eight cases of varicosis nearly disappeared. Six-month follow-up showed three cases of gastrointestinal bleeding, one case of death of bleeding, and no recurrence hemorrhage in 27 others. Conclusion Endoscopic treatment could safely and effectively control the primary liver cancer combined with gastroesophageal variceal hemorrhage, hence may provide opportunity for further treatment of liver cancer.