文章摘要
罗显克1 谭建荣1 王大东1 吴志芳1 赵晖1 齐书翔2.内镜下3 种方法治疗食管静脉曲张破裂出血临床效果比较*[J].,2014,14(10):1919-1922
内镜下3 种方法治疗食管静脉曲张破裂出血临床效果比较*
Comparison of Clinical Effects of Three Endoscopic methodsfor Esophageal Varices Bleeding*
  
DOI:
中文关键词: 食管静脉曲张破裂出血  套扎治疗  硬化治疗  序贯治疗
英文关键词: Esophageal varices bleeding  Ligation  Sclerotherapy  Sequential therapy
基金项目:崇左市自筹计划科研课题(200912005);国家自然科学基金项目
作者单位
罗显克1 谭建荣1 王大东1 吴志芳1 赵晖1 齐书翔2 1 广西壮族自治区民族医院消化内科广西南宁5300212 哈尔滨医科大学黑龙江哈尔滨150081 
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中文摘要:
      摘要目的:探讨治疗肝硬化导致的食管静脉曲张破裂出血的有效方法。方法:回顾性分析40 例因肝硬化致食管静脉曲张破裂出 血患者的临床资料,比较采用内镜下套扎、硬化及套扎序贯硬化3 种治疗方法的止血率、静脉曲张消失率和再出血率。结果:EVL 组、EVS 组和EVL+EVS 组治疗1 个周期后止血率分别为86.67%、92.31%和91.67%,差异无统计学意义(X2=0.299,P=0.861);治 疗3 周期后静脉曲张消失率分别为80.00%、84.61%和91.67%,差异无统计学意义(X2=0.714,P=0.700)。治疗后3 个月、6 个月、12 个月、24 个月再出血率EVL+EVS 组
英文摘要:
      ABSTRACT Objective:To implore an effectivemethod for the treatment of esophageal variceal bleeding caused by cirrhosis. Methods:A retrospective analysis of clinical data of 40 patientswith esophageal variceal bleeding caused by cirrhosis was made. the hemostasis, varicose veins disappearance rate and re-bleeding rate of ligation, sclerotherapy and sequential therapy was compared.Results: The hemostasis rates of EVL group, EVS group and EVL + EVS group were 86.67%, 92.31%and 91.67%after a therapy cycle, of which the difference was not statistically significant (X2=0.299, P=0.861). The intravenous varicose disappearance rates were 80.00%, 84.61%and 91.67%after 3-cycle treatment,and the difference was not statistically significant (X2=0.714,P=0.700). The order of re-bleeding rates of 3 groups after treatment 3 months, 6 months, 12 months, 24 months was EVL + EVS group
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