内镜下硬化和套扎治疗食管静脉曲张破裂出血效果分析.docVIP

内镜下硬化和套扎治疗食管静脉曲张破裂出血效果分析 　　【摘要】 目的：探讨内镜下硬化与套扎治疗食管静脉曲张破裂出血的临床效果。方法：选择笔者所在医院68例食管静脉曲张破裂出血患者，分为硬化治疗组、套扎治疗组、联合治疗组，在内镜下分别注射硬化剂、套扎治疗、硬化和套扎联合治疗。观察三组治疗效果，记录治疗次数，观察并发症发生情况。结果：联合治疗组的总有效率高于硬化治疗组和套扎治疗组，差异有统计学意义（P0.05）。联合治疗组治疗次数少于硬化治疗组和套扎治疗组，差异有统计学意义（P0.05）。联合治疗组并发症发生率低于硬化治疗组和套扎治疗组，差异有统计学意义（P0.05）。结论：内镜下硬化联合套扎治疗食管静脉曲张破裂出血的临床效果显著，值得借鉴。 　　【关键词】 内镜； 硬化治疗； 套扎治疗； 食管静脉曲张破裂出血 　　doi：10.14033/j.cnki.cfmr.2017.3.010 文献标识码 B 文章编号 1674-6805（2017）03-0021-02 　　【Abstract】 Objective：To explore the clinical effect of endoscopic sclerosis and ligation in the treatment of esophageal varices bleeding.Method：68 cases with esophageal variceal bleeding were divided into three groups：hardening treatment group，ligation treatment group and combined treatment group，they were given the endoscopic injection，sclerotherapy ligation，hardening and tie combination therapy respectively.The treatment effect of the three groups were observed，the number of treatment was recorded，the incidence of complications was recorded.Result：The total effective rate of the combined treatment group was higher than that of the hardening treatment group and the ligation treatment group，the differences were statistically significant（P0.05）.The number of treatment and the incidence of complications in the combined treatment group were lower than those in the hardening treatment group and the ligation treatment group，the differences were statistically significant（P0.05）.Conclusion：The clinical effect of sclerosis combined with ligation in patients with esophageal varices bleeding is significant，which is worth learning from. 　　【Key words】 Endoscopy； Sclerosis therapy； Ligation therapy； Esophageal varices bleeding 　　First-author’s address：Hechi People’s Hospital，Hechi 547000，China 　　食管静脉曲张破裂出血是肝硬化病程中食管静脉曲张后常见的并发症之一，此类患者出血容易危及到生命，病死率较高，止血治疗是挽救患者生命的重要环节[1-3]。给予药物止血和物理压迫止血产生的止血效果有限，即使达到止血效果，而后也容易复发。内镜技术的发展，使其在食管静脉曲张破裂出血中的应用开始逐渐增多[4-5]。本文观察内镜下硬化和套扎在此类患者中的应用效果，现报告如下。 　　1 资料与方法 　　1.1 一般资料 　　入选的68例食管静脉曲张破裂出血患者均为笔者所在医院2012年2月-2016年2月