中华消化病与影像杂志（电子版）
中華消化病與影像雜誌（電子版）
중화소화병여영상잡지（전자판）
2012年
1期
30-32
,共3页
贺晓娟%张迷春%马锦屏%彭芳丽%鲁秀梅
賀曉娟%張迷春%馬錦屏%彭芳麗%魯秀梅
하효연%장미춘%마금병%팽방려%로수매
食管静脉曲张%套扎治疗%硬化治疗%联合治疗
食管靜脈麯張%套扎治療%硬化治療%聯閤治療
식관정맥곡장%투찰치료%경화치료%연합치료
endoscopic variceal%ligation%sclerotherapy%combination treatment
目的 评价食管静脉套扎治疗(EVL)、硬化治疗(EVS)及两者联合治疗肝炎肝硬化引起的食管静脉曲张破裂出血患者的临床疗效.方法 回顾性分析咸阳市中心医院消化内科86例行食管静脉曲张内镜下治疗的肝炎肝硬化患者的临床资料,根据当时随机选择的治疗方法将资料分为3组,EVL组(36例)、EVS组(28例)及套扎联合硬化治疗组(22例),分别对食道曲张静脉进行单一套扎治疗、单一硬化治疗和套扎联合硬化治疗.对3组患者治疗后静脉曲张消失情况及再出血情况进行列联表分析卡方检验.结果 EVL组、EVS组及联合治疗组的静脉曲张消失率分别为58％(21/36)、46％(13/28)、86％(19/22).3组治疗后静脉曲张消失率比较,联合组高于其他两组,差异有统计学意义(x2=8.59,P＜0.0s)；3组随访1年再出血率分别为25％(9/39)、11％(3/28)、5％(1/22).联合治疗组较套扎组1年再出血率低,差异有统计学意义(x2=4.00,P＜0.05).结论 EVL、EVS以及联合治疗都能有效地治疗和预防食管静脉曲张破裂出血,但联合治疗曲张静脉消失率效果明显优于其他两种方法,且联合治疗组的1年再出血率低于单一套扎组.
目的 評價食管靜脈套扎治療(EVL)、硬化治療(EVS)及兩者聯閤治療肝炎肝硬化引起的食管靜脈麯張破裂齣血患者的臨床療效.方法 迴顧性分析鹹暘市中心醫院消化內科86例行食管靜脈麯張內鏡下治療的肝炎肝硬化患者的臨床資料,根據噹時隨機選擇的治療方法將資料分為3組,EVL組(36例)、EVS組(28例)及套扎聯閤硬化治療組(22例),分彆對食道麯張靜脈進行單一套扎治療、單一硬化治療和套扎聯閤硬化治療.對3組患者治療後靜脈麯張消失情況及再齣血情況進行列聯錶分析卡方檢驗.結果 EVL組、EVS組及聯閤治療組的靜脈麯張消失率分彆為58％(21/36)、46％(13/28)、86％(19/22).3組治療後靜脈麯張消失率比較,聯閤組高于其他兩組,差異有統計學意義(x2=8.59,P＜0.0s)；3組隨訪1年再齣血率分彆為25％(9/39)、11％(3/28)、5％(1/22).聯閤治療組較套扎組1年再齣血率低,差異有統計學意義(x2=4.00,P＜0.05).結論 EVL、EVS以及聯閤治療都能有效地治療和預防食管靜脈麯張破裂齣血,但聯閤治療麯張靜脈消失率效果明顯優于其他兩種方法,且聯閤治療組的1年再齣血率低于單一套扎組.
목적 평개식관정맥투찰치료(EVL)、경화치료(EVS)급량자연합치료간염간경화인기적식관정맥곡장파렬출혈환자적림상료효.방법 회고성분석함양시중심의원소화내과86례행식관정맥곡장내경하치료적간염간경화환자적림상자료,근거당시수궤선택적치료방법장자료분위3조,EVL조(36례)、EVS조(28례)급투찰연합경화치료조(22례),분별대식도곡장정맥진행단일투찰치료、단일경화치료화투찰연합경화치료.대3조환자치료후정맥곡장소실정황급재출혈정황진행렬련표분석잡방검험.결과 EVL조、EVS조급연합치료조적정맥곡장소실솔분별위58％(21/36)、46％(13/28)、86％(19/22).3조치료후정맥곡장소실솔비교,연합조고우기타량조,차이유통계학의의(x2=8.59,P＜0.0s)；3조수방1년재출혈솔분별위25％(9/39)、11％(3/28)、5％(1/22).연합치료조교투찰조1년재출혈솔저,차이유통계학의의(x2=4.00,P＜0.05).결론 EVL、EVS이급연합치료도능유효지치료화예방식관정맥곡장파렬출혈,단연합치료곡장정맥소실솔효과명현우우기타량충방법,차연합치료조적1년재출혈솔저우단일투찰조.
Objective To assess the efficacy of endoscopic variceal ligation(EVL),endoscopic variceal sclerotherapy (EVS) and the combined treantment in control of the esophageal varices.Methods 86 cases of patients with esophageal varices bleeding in GI medicine of The Central Hospital of Xianyangwere assigned Retrospectively with endoscopic therapy.According to the time of a random selection of treatment methods data were divided into 3 groups,namely the ligation group ( EVL ),the sclerotherapy group ( EVS ) and the combined treatment group.Analysis the three groups of patients after treatment of varices disappeared and rebleeding of contingency table analysis chi-square test..Results The rates of varicose disappear in EVL group,EVS group and the combined treantment group were respectively 58％ (21/36),46％ (13/28),86％ (19/22).There are obviously differents of the rate of varicose disappear among the three group above,and the combination treatment group is the highest.The difference was statistically significant ( x2=8.59,P＜0.05); The re-bleeding rate of three groups were respectively25％ (9/36),11％ (3/28),5％ (1/22).The re-bleeding rate of combination group was lower than the EVL group in the follow year,the difference was statistically significant ( x2=4.00,P＜0.05).Conclusions The combination of EVL and EVS is the best effective method for esophageal varices,ahhough EVL or EVS alone is effective in control active,recurrence of bleeding.
