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* |
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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 |
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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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