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内镜下套扎、硬化剂及组织胶注射治疗食管静脉曲张破裂出血的近期疗效观察

周年兰 张明娟 王甦 龙爱华 向晓星

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内镜下套扎、硬化剂及组织胶注射治疗食管静脉曲张破裂出血的近期疗效观察

DOI: 10.3969/j.issn.1001-5256.2014.07.013
详细信息
  • 中图分类号: R575.21

Short-term efficacy of EVL, EIS, and TAI in treatment of esophageal variceal bleeding

  • 摘要: 目的观察肝硬化食管静脉曲张破裂出血患者行内镜下套扎、硬化剂及组织胶注射治疗后食管静脉曲张程度、红色征及门静脉高压性胃病的变化。方法回顾性分析本院2011年9月-2013年9月收治的75例食管静脉曲张破裂出血患者,行首次内镜下套扎、硬化剂或组织胶注射治疗。24周后复查胃镜,对比治疗前后曲张食管静脉的数目与直径、红色征及门静脉高压性胃病在内镜下的改变。组内治疗前后的比较采用配对t检验,率的比较采用卡方检验。结果治疗后曲张食管静脉的数目及直径均小于治疗前[(3.08±0.96)vs(3.75±0.60),t=5.26,P<0.05;(1.05±0.46)cm vs(1.49±0.26)cm,t=9.84,P<0.05)],差异均有统计学意义。红色征的发生率较治疗前降低,差异有统计学意义(26.67%vs 57.33%,χ2=14.48,P<0.05)。治疗后门静脉高压性胃病虽有所好转,但差异无统计学意义(70.67%vs 72.00%,χ2=0.03,P>0.05)。结论内镜下套扎、硬化剂及组织胶注射治疗食管静脉曲张破裂出血的方法安全、有效。

     

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  • 收稿日期:  2013-12-16
  • 出版日期:  2014-07-20
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