中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
CHINESE JOURNAL OF DIGESTIVE ENDOSCOPY
2013年
12期
665-667
,共3页
别彩群%俞力%冀明%张澍田
彆綵群%俞力%冀明%張澍田
별채군%유력%기명%장주전
食管和胃静脉曲张%内镜下静脉曲张套扎术%组织胶栓塞术%临床疗效
食管和胃靜脈麯張%內鏡下靜脈麯張套扎術%組織膠栓塞術%臨床療效
식관화위정맥곡장%내경하정맥곡장투찰술%조직효전새술%림상료효
Esophageal and gastric varices%Endoscopic variceal ligation%Injection of tissue adhesive%Clinical efficacy
目的 探讨内镜下静脉曲张套扎术(EVL)及组织胶栓塞术治疗食管胃底静脉曲张出血的临床疗效.方法 回顾性分析452例食管胃底静脉曲张出血患者的食管静脉曲张EVL和胃底静脉曲张组织胶栓塞术治疗及随访情况,对治疗效果及并发症进行总结.结果 急诊止血成功率为100.0％ (145/145),早期再出血率为1.8％ (8/452),早期不良反应发生率为50.0％(226/452),并发症发生率为12.4％ (56/452).EVL治疗食管静脉曲张有效率和显效率分别为32.5％ (145/446)和40.4％ (180/446);组织胶栓塞术治疗胃底静脉曲张有效率和显效率分别为32.5％ (136/419)和27.4％ (115/419).426例随访9～37个月,平均18个月,再出血发生率为10.1％ (43/426),6个月生存率为97.9％ (417/426),1年生存率为89.9％ (383/426).结论 EVL及组织胶栓塞术治疗食管胃底静脉曲张疗效较好,两者联合治疗操作简单、疗效好、患者创伤小,既可以用于急诊止血,也可用于二级预防.
目的 探討內鏡下靜脈麯張套扎術(EVL)及組織膠栓塞術治療食管胃底靜脈麯張齣血的臨床療效.方法 迴顧性分析452例食管胃底靜脈麯張齣血患者的食管靜脈麯張EVL和胃底靜脈麯張組織膠栓塞術治療及隨訪情況,對治療效果及併髮癥進行總結.結果 急診止血成功率為100.0％ (145/145),早期再齣血率為1.8％ (8/452),早期不良反應髮生率為50.0％(226/452),併髮癥髮生率為12.4％ (56/452).EVL治療食管靜脈麯張有效率和顯效率分彆為32.5％ (145/446)和40.4％ (180/446);組織膠栓塞術治療胃底靜脈麯張有效率和顯效率分彆為32.5％ (136/419)和27.4％ (115/419).426例隨訪9～37箇月,平均18箇月,再齣血髮生率為10.1％ (43/426),6箇月生存率為97.9％ (417/426),1年生存率為89.9％ (383/426).結論 EVL及組織膠栓塞術治療食管胃底靜脈麯張療效較好,兩者聯閤治療操作簡單、療效好、患者創傷小,既可以用于急診止血,也可用于二級預防.
목적 탐토내경하정맥곡장투찰술(EVL)급조직효전새술치료식관위저정맥곡장출혈적림상료효.방법 회고성분석452례식관위저정맥곡장출혈환자적식관정맥곡장EVL화위저정맥곡장조직효전새술치료급수방정황,대치료효과급병발증진행총결.결과 급진지혈성공솔위100.0％ (145/145),조기재출혈솔위1.8％ (8/452),조기불량반응발생솔위50.0％(226/452),병발증발생솔위12.4％ (56/452).EVL치료식관정맥곡장유효솔화현효솔분별위32.5％ (145/446)화40.4％ (180/446);조직효전새술치료위저정맥곡장유효솔화현효솔분별위32.5％ (136/419)화27.4％ (115/419).426례수방9～37개월,평균18개월,재출혈발생솔위10.1％ (43/426),6개월생존솔위97.9％ (417/426),1년생존솔위89.9％ (383/426).결론 EVL급조직효전새술치료식관위저정맥곡장료효교호,량자연합치료조작간단、료효호、환자창상소,기가이용우급진지혈,야가용우이급예방.
Objective To evaluate the clinical efficacy of endoscopic variceal ligation (EVL) combined with injection of tissue adhesive for esophageal and gastric varices bleeding.Methods Data of 452 patients with esophageal and gastric varices bleeding who received EVL and injection of tissue adhesive were retrospectively studied.Results The instant hemostatic rate was 100.0％ (145/145).Early rebleeding rate was 1.8％ (8/452).Incidence of early adverse reactions was 50.0％ (226/452).The total incidence rate of complications was 12.4％ (56/452).Efficiency and effectiveness of EVL were 32.5％ (145/446)and 40.4％(180/446) respectively.Efficiency and effectiveness of injection of tissue adhesive were 32.5％ (136/419) and 27.4％ (115/419) respectively.With an average of 18 months' follow-up (ranging from 9 to 37 months),the rate of rebleeding was 10.1％ (43/426),six-month and one-year survival rate was 97.9％ (417/426) and 89.9％ (383/426) respectively.Conclusion EVL combined with injection of tissue adhesive for esophageal and gastric varices is effective,convenient,and less invasive.They can be used not only for emergency hemostasis but also for secondary prophylaxis.
