胃镜下套扎治疗食管静脉曲张的临床疗效观察

Clinical effect observation of endoscopic ligation in the treatment of esophageal varices

目的观察胃镜下套扎治疗食管静脉曲张的疗效。方法选择食管静脉曲张患者63例,根据患者的治疗方法,将其中施行胃镜下皮套圈套扎进行治疗的患者43例作为治疗组,经胃镜给予聚桂醇注射液进行治疗的患者20例作为对照组。比较2组患者止血成功率、不良反应及再次出血情况。结果治疗组止血成功率高于对照组,不良反应发生率及再次出血发生率低于对照组,差异均有统计学意义(P<0.05)。结论对食管静脉曲张患者采用胃镜下套扎技术治疗疗效显著,安全性高,值得进一步推广。

Objective To explore the effect of endoscopic ligation in the treatment of esophageal varices. Methods Selected 63 patients with esophageal varices. According to the treatment,43 patients which treated with endoscopic ligation were served as treatment group. 20 patients who treated with juguichun injection by endoscopy were served as control group. The success rate of bleeding,adverse reaction and rebleeding were compared between two groups. Results The success rate of hemostasis in treatment group was higher than that in control group（ P 〈0. 05）. The incidence of adverse reactions and the incidence of rebleeding were lower than those in control group（ P 〈0. 05）. Conclusion The curative effect of endoscopic ligation in treatment of patients with esophageal varices is significant,high safety,it is worth to be further promoted.