食管胃静脉曲张内镜下序贯治疗效果分析

Analysis the effect of endoscopic sequential therapy for gastroesophageal varices

[目的]观察内镜下套扎、硬化剂注射、组织胶注射法对食管胃静脉曲张破裂出血的疗效。[方法]选取诊断为食管胃底静脉曲张破裂出血的住院患者68例,观察患者经过内镜下序贯治疗后再出血的发生率、静脉曲张的消失率,以及并发症情况。[结果]68例均取得了良好的治疗效果,近期止血率100%,62例随诊6个月后曲张静脉消失或基本消失,并发症较少。[结论]内镜下序贯治疗食管胃静脉曲张破裂出血安全有效,值得推荐。

[Objective]To observe the effect of endoscopic variceal ligation（EVL）/endoscopic injection sclerotherapy（EIS）/tissue adhesive injection（TAI） on gastroesophageal varices. [Methods] We collected cases with a history of gastroesophageal varices bleeding caused by liver cirrhosis in our hospital during t period of January 2012 to December 2015. The incidence of rebleeding,the rate of varicose veins,and t complications of endoscopic sequential therapy were observed. [Results]All patients achieved good results： the immediate hemostasis rate was 100%. We followed 62 patients for 6 months and found gastroesophageal variees disappeared or almost disappeared,the complications was few. EConclusion]Endoseopic sequential therapy for esophageal and gastric varices is safe and effective.