中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
21期
30-31
,共2页
曹华%付华运%王善中%胡秀云
曹華%付華運%王善中%鬍秀雲
조화%부화운%왕선중%호수운
食管静脉曲张%硬化治疗%套扎治疗
食管靜脈麯張%硬化治療%套扎治療
식관정맥곡장%경화치료%투찰치료
Esophageal varices%Variceal sclerotherapy%Variceal ligation
目的：观察内镜下套扎与硬化序贯治疗（EVLS）对肝硬化食管静脉曲张破裂出血的临床疗效。方法：回顾性分析本院2010年1月～2013年2月收治的60例肝硬化食管静脉曲张出血患者为研究对象，并按照不同的治疗方法分为3组：内镜下硬化治疗组（EVS）18例，内镜下套扎治疗组（EVL）20例，EVLS 组22例。观察治疗后食管静脉曲张消失率、再出血率，复发率、并发症发生率等情况。结果：3种治疗方法对静脉曲张消失率相似，但EVL组的平均治疗次数少于 EVS组和 EVLS组。EVLS组曲张静脉完全消失所需的平均套扎环数少于 EVL组，平均硬化剂量少于 EVS组。3种治疗方法对患者再出血率和死亡率无统计学意义。并发症的发生率以EVL组最低，其次为EVLS组和EVS组。EVLS组和EVS组的复发率均低于 EVL组。结论：EVLS是治疗食管静脉曲张的有效方法，具有复发率低，安全性高等优点。
目的：觀察內鏡下套扎與硬化序貫治療（EVLS）對肝硬化食管靜脈麯張破裂齣血的臨床療效。方法：迴顧性分析本院2010年1月～2013年2月收治的60例肝硬化食管靜脈麯張齣血患者為研究對象，併按照不同的治療方法分為3組：內鏡下硬化治療組（EVS）18例，內鏡下套扎治療組（EVL）20例，EVLS 組22例。觀察治療後食管靜脈麯張消失率、再齣血率，複髮率、併髮癥髮生率等情況。結果：3種治療方法對靜脈麯張消失率相似，但EVL組的平均治療次數少于 EVS組和 EVLS組。EVLS組麯張靜脈完全消失所需的平均套扎環數少于 EVL組，平均硬化劑量少于 EVS組。3種治療方法對患者再齣血率和死亡率無統計學意義。併髮癥的髮生率以EVL組最低，其次為EVLS組和EVS組。EVLS組和EVS組的複髮率均低于 EVL組。結論：EVLS是治療食管靜脈麯張的有效方法，具有複髮率低，安全性高等優點。
목적：관찰내경하투찰여경화서관치료（EVLS）대간경화식관정맥곡장파렬출혈적림상료효。방법：회고성분석본원2010년1월～2013년2월수치적60례간경화식관정맥곡장출혈환자위연구대상，병안조불동적치료방법분위3조：내경하경화치료조（EVS）18례，내경하투찰치료조（EVL）20례，EVLS 조22례。관찰치료후식관정맥곡장소실솔、재출혈솔，복발솔、병발증발생솔등정황。결과：3충치료방법대정맥곡장소실솔상사，단EVL조적평균치료차수소우 EVS조화 EVLS조。EVLS조곡장정맥완전소실소수적평균투찰배수소우 EVL조，평균경화제량소우 EVS조。3충치료방법대환자재출혈솔화사망솔무통계학의의。병발증적발생솔이EVL조최저，기차위EVLS조화EVS조。EVLS조화EVS조적복발솔균저우 EVL조。결론：EVLS시치료식관정맥곡장적유효방법，구유복발솔저，안전성고등우점。
Toobserve the clinical curative effect ofendoscopic variceal ligation plus sclerotherapy on cirrhosis esophagus varicosity burst bleeding.. Methods: 60 cases of liver cirrhosis patients with esophageal varices bleedingin our hospitalfrom January 2010to February 2010as the research objectswere retrospectively analyzed.According to the different treatment methods, they were divided into three groups: endoscopic variceal sclerotherapygroup (EVS)with18 cases, endoscopicvariceal ligation group (EVL ) with20 cases, 22 casesin EVLS group.The condition including thedisappearance rate, re-bleeding rate, recurrence rate andcomplication rate after treatmentwere observed.Results:Three kinds of treatment of varicose veins disappeared rate is similar, but theaveragefrequency ofEVLwas less thanthat ofEVS and EVLS groups. The required averageligation ring number ofEVLS groupforvaricose veins disappearance entirelywas less than EVLgroup , the average sclerosis dose less than a set of EVS group.Thebleeding rate and mortality of three kinds of treatment for patients had no statistical significance. The incidence of complicationsin EVLgroupwas the lowest, followed by EVLS group and EVSgroup. The recurrence rate ofEVLS group and EVS group were lower than EVLgroup . Conclusion:EVLS is an effective method forthetreatment of esophageal varices with low recurrence rate and high security.
