内镜下同步联合治疗在食管胃底静脉曲张出血患者的应用及对预后的影响研究.docx

内镜下同步联合治疗在食管胃底静脉曲张出血患者的应用及对预后的影响研究[摘要]目的 观察并讨论内镜下同步联合治疗在食管胃底静脉曲张出血患者的应用及对预后效果。方法 选取2010年12月～2015年12月来本院治疗的100例食管胃底静脉曲张出血患者患者展开回顾性分析,随机分成实验组和对照组。对照组患者接受序贯治疗,观察组患者接受内镜下同步联合治疗。观察两组在经过各自治疗后的总有效率、并发症发生率、再出血量、再住院率。结果 两组患者治疗总有效率无差异(P0.05),实验组再出血率、再住院率明显低于对照组(P0.05),两组患者并发症发生率无差异(P0.05)。结论 临床治疗食管胃底静脉曲张出血采取内镜下同步联合治疗具有较高的价值,疗效显著，再出血率低，并发症少，值得临床推广。[关键词] 内镜;同步;联合;食管胃底静脉曲张;预后Study on the application of endoscopic combined therapy in patients with esophageal and gastric varices bleeding[Abstract] Objective To observe and discuss the application and effect of endoscopic combined therapy in patients with esophageal and gastric varices bleeding. Methods 100 patients with esophageal and gastric varices bleeding treated in our hospital from December 2010 to ～2015 in December were retrospectively analyzed. They were randomly divided into experimental group and control group. The patients in the control group were treated with sequential therapy, and the observation group was treated with simultaneous endoscopic treatment.Results of the two patients and the total efficiency of no difference between the experimental group (P0.05), rebleeding rate, re hospitalization rate was significantly lower than the control group (P0.05), two groups of patients with complications had no difference (P0.05) Conclusion the clinical treatment of esophageal and gastric varices bleeding combined endoscopic treatment has high value, significant effect, low rebleeding rate, fewer complications, worthy of clinical promotion. [keyword]Endoscopy; synchronization; combination; esophageal and gastric varices; prognosis食管胃底静脉曲张破裂出血临床是消化科最为常见且非常危急的重症[1－2]，控制与预防患者出现食管胃底静脉曲张出血对治疗该症状具有决定性的临床价值。从国内引进内镜治疗后，对于EVL和EVS联合最为普遍，对于部分患者合并食管、胃底静脉曲张的则会选择 EAI联合食管静脉曲张行内镜下食管静脉曲张套扎术和内镜下曲张静脉硬化剂治疗，其治疗效果已经受到国内外临床的一致肯定。分析食管、胃底同时存在曲张静脉的患者内镜下治疗的选择，采取内镜下同步联合治疗具有显著意义。1资料与方法1.1临床资料 选取2010年12月～2016年12月来本院治疗的100例食管胃底静脉曲张出血患者患者展开回顾性分析，所有患者均符合EVL或EVS治疗指征[3]。分成实验组（n=50）和对照组（n=50），年龄19～79岁；食管静脉曲张中度32例、重度68例；胃底静脉曲张团状44例、结节状56例；Child-Pugh分级B级22例、C