食管静脉曲张破裂出血内镜治疗进展

Advance in endoscopic treatment of esophageal variceal bleeding

食管静脉曲张破裂出血(EVB)是肝硬化所致门静脉高压最危险的并发症.是消化科常见的急症,有出血量巨大,抢救困难,病死率高等特点.治疗方法包括药物治疗、外科治疗、介入治疗、联合治疗、内镜治疗等.内镜治疗因其止血成功率高、创伤小、止血迅速,已成为治疗EVB的主要手段.随着内镜设备和技术的不断进步,内镜治疗在其抢救过程中作用越显突出.

Esophageal variceal bleeding is the most dangerous complications of portal hypertension caused by cirrhosis.It is a common emergency of digestive diseases,with characteristics of a large amount of bleeding,difficulties in rescue and high mortality.Treatment methods include drug therapy,surgical treatment, interventional therapy,combined therapy,endoscopic therapy,etc.Endoscopic therapy has become the main means to treat EVB because of its high success rate of hemostasis,little trauma and rapid hemostasis.With the continuous improvement of endoscopic equipment and technology,endoscopic treatment plays a more prominent role in the rescue process.This article reviews the endoscopic treatment of esophageal variceal bleeding.