摘要
目的探讨内镜下密集多点结扎术治疗食管静脉曲张出血的近远期疗效。方法对贲门口齿状线及以上5、6cm范围的曲张静脉密集多点结扎,每隔3周重复治疗,直至曲张静脉全部根治。术后3、6、12个月定期随访及胃镜复查,术后3个月结果作为近期疗效判断依据,6个月以后作为远期疗效判断依据。结果21例患者共完成40次、321点结扎,平均每例结扎1.9次、15.3点。近期食管静脉曲张根治率为100%,复发出血率为0;经过平均10.6个月随访,远期食管静脉曲张复发率为5%,复发出血率为0。结论内镜下密集多点结扎术治疗能有效根治食管静脉曲张和预防再出血,远期疗效较好。治疗不受肝功能状态的影响,并发症少。
[Objective] To evaluate the short-term and long-term effects of dense endoscopic variceal ligation （DEVL）for bleeding esophageal varices. [Methods] Patients with a history of esophageal variceal bleeding underwent regular DEVLs with a 3 week interval between 2 sessions until their varices disappeared at the lowers 5-6 cm part of the esophagus. Follow-up study and gastroscopy were performed at 3, 6 and 12 months after the final DEVL in all patients. The results at 3 months were classified as short-term effects and those after 6 months as long-term ones. [Results] 21 Patients underwent DEVLs with 40 sessions and 321 ligafions; each patient was ligated with a mean of 1.9 sessions and at 15.3 points. The short-term rate of variceal eradication was 100% and no rebleeding occurred. After a mean of 10.6 months follow-up period, the recurrence of esophageal varices was observed in 5% patients, but no rebleeding occurred. [Conclnsion] DEVL was very useful and effective in both short-term and long-term variceal eradication and prevention of variceal rebleeding.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第10期1041-1043,共3页
China Journal of Endoscopy
