CAJ | 학술논문

目的探讨在密集套扎疗法的基础上进行硬化治疗对于食管静脉曲张复发的防治作用.方法将96例乙型肝炎肝硬化门静脉高压症合并食管静脉曲张患者分为对照组(单纯套扎组,50例)和硬化剂治疗组(套扎后加大剂量聚桂醇治疗组,46例),比较两组疗效.结果硬化剂治疗组再出血率明显低于对照组[2.17％(1/46)比12.00％(6/50),P＜0.05].结论套扎治疗后大剂量硬化剂治疗可显著减少套扎术后残留的食管曲张静脉、延缓静脉曲张的复发.
목적탐토재밀집투찰요법적기출상진행경화치료대우식관정맥곡장복발적방치작용.방법장96례을형간염간경화문정맥고압증합병식관정맥곡장환자분위대조조(단순투찰조,50례)화경화제치료조(투찰후가대제량취계순치료조,46례),비교량조료효.결과경화제치료조재출혈솔명현저우대조조[2.17％(1/46)비12.00％(6/50),P＜0.05].결론투찰치료후대제량경화제치료가현저감소투찰술후잔류적식관곡장정맥、연완정맥곡장적복발.
Objective To investigate the preventing and curative value of endoscopic injectim sclerotherapy underlying endoscopic variceal ligations in the treatment of the patients suffering form esophageal varix recurrence.Methods The endoscopic injection sclerotherapy was performed to the patients whose esophageal varix varnished or nearly varnished after the endoscopic variceal ligation.Results There were sinificant differences (P ＜ 0.05 ) between the group of the endoscopic variceal ligation combining more dose laurornacrogol and the group of the single endoscopic variceal ligation at the recurrence rate of bleeding.No severe complications were observed during the treatments.Conclusion The endoscopic injection clerotherapy of more amount doses lauromacrogol after the endoscopic variceal ligation can signiticantly reduce residual esophageal varix after the endoscopic variceal ligation and dday esophageal varix recurrrence.