摘要
目的探讨内镜下六连环与单发尼龙绳套扎治疗食管静脉曲张的的有效性、安全性。方法将43例肝硬化并食管静脉曲张患者,随机分两组,六连环组26例,单发尼龙组17例,分别采用内镜下六连环及单发尼龙绳套扎治疗,对比观察两组疗效、并发症及操作和套扎圈脱落时间。结果①两组总疗效基本相同(P>0.05)。②两组治疗后近期并发症基本相同(P>0.05),但胸骨后疼痛在单发尼龙组更多见(P<0.01)。③操作及套扎圈脱落时间:两组在操作时间及术后套扎圈脱落时间有显著性差异(P<0.05)。结论两种方法套扎治疗肝硬化并食管静脉曲张疗效相当,六连环套扎操作简便、手术时间短,并发症少。
Objective To investigate the efficacy and safety of six-loop ligation and one nylon loop ligation in management of esophageal varices under endoscopy. Methods Forty-three patients of liver cirrhosis complicated with esophageal varices were randomly allocated into two groups receiving six-loop ligation （n = 26） and one nylon loop ligation （n = 17） respectively. The efficacy, complications and operation procedure and the dropped-off time of loops were observed. Results There was no statistical difference on therapeutic efficacy （P〉0. 05） or short-term complications （P〉0. 05） between the two groups. The incidence of retrosternal pain was higher in those by one nylon loop ligation （P〈0.01）. The operation time and the dropped-off time of loops dropped off were respectively （16. 50±1.40） min and （8. 50±1.40） min in those by six-loop ligation, and those by one nylon loop ligation （31.50 ± 4. 70） min and （15.80 ± 3. 40） min, with statistically significant difference between the two groups （P〈0.05）. Conclusion The efficacy of the two methods is of no significant difference in managing esophageal varices. However, six-loop ligation is simpler, of shorter operation time and lesser complications.
出处
《华南国防医学杂志》
CAS
2007年第6期29-31,共3页
Military Medical Journal of South China
关键词
食管静脉曲张
肝硬化
内镜
套扎治疗
Esophageal varices
Cirrhosis of liver
Endoscopy
Ligation
