六环结扎器的研制与食管静脉曲张的内镜下治疗-内科学(消化系病)专业论文.docxVIP

英文缩写一览表英文缩写 英文缩写一览表 英文缩写 英文全称 中文名称 ECT endoscopic combined therapy 内镜下联合治疗 EIS endoscopic injection sclerotherapy内镜下硬化疗法 EUS endoscopic ultrasonogrphy 内镜下超声检查 EV esopgageal varices 食管静脉曲张 EVL endoscopic variceal ligation 内镜下曲张静脉 结扎疗法 GV astric varices 胃静脉曲张 MLD multiple ligating device 多环结扎器 PV paraesophageal varices 食管旁静脉曲张 3 Development Development of a multiple band ligator and the endoscopic therapy for patients with esophageal varices abstract AIMs：Endoscopic variceal ligation(EVL)is recommended as the endoscopic treatment of choice for patients with esophageal variceal bleeding．Lower rates of recurrent bleeding，mortality，and complications and the need for fewer sessions for variceal eradication are the main arguments in favor of EVL．The purposes of the present study are to develop a kind of economical，effective multiple band ligator to meet the clinical requirement；to evaluate the efficacy of dense ligation for the treatment of active bleeding from esophageal varices and its efficacy in the prophylactic treatment ofpatients at high risk ofvariceal bleeding；to evaluate the efficacy of sclerotherapy as a reinforcing method to prevent recurrence ofvarix after variceal eradication was achived by EVL therapy． METHODs：1．Model tools of the handle part．elastic rubber band(O— fin曲，steel trip line and cylinder were made，then the above parts were manufactured and set up．The O—ring was tested for multiple index including strong acid—resistant，strong alkali-resistant，pulling force enduring，etc．2．EVLwas perfomed using self-made ligator(SML)to observe its efficacy in the control of acute variceal bleeding，the variceal obliteration and the complications，which was compared with foreign multiple ligatortTML)．3．The patients with esophageal varices were treated by endoscopic variceal dense ligation．nle ligating device was attached to the tip of the endoscope and trip line was passed through the biopsy channel．Varices were ligated with all elastic O ring at or near the ga