| 应用微超声探头观察食管静脉曲张结扎术后曲张静脉的演变 |
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| 引用本文： | 郭方,于永征,于中麟.应用微超声探头观察食管静脉曲张结扎术后曲张静脉的演变[J].中华消化内镜杂志,2000,17(3):147-149. |
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| 作者姓名： | 郭方 于永征 于中麟 |
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| 作者单位： | 首都医科大学附属北京友谊医院综合科(郭方!100050)，首都医科大学附属北京友谊医院(于永征!100050，于中麟!100050) |
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| 摘 要： | 】
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| 关 键 词： | 】 |
| 修稿时间： | 2000－01－03 |
Observation
of ligated esophageal varices by ultrasonic microprobe |
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| GUO Fang,YU Yongzheng,YU Zhonglin.Gastrointestinal Dept.Observation
of ligated esophageal varices by ultrasonic microprobe[J].Chinese Journal of Digestive Endoscopy,2000,17(3):147-149. |
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| Authors: | GUO Fang YU Yongzheng YU ZhonglinGastrointestinal Dept |
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| Institution: | GUO Fang,YU Yongzheng,YU Zhonglin.Gastrointestinal Dept.Beijing Friendship Hospital Affiliated to Capital University of Medical Sciences,Beijing 100050,China |
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| Abstract: | Objective Ultrasonic microprobe (UMP) was used in this study to estimate the sequalae of EVL (endoscopic variceal ligation) on esophageal varices (EV). Methods EVL was practised on 40 patients with moderate to severe esophageal varices. Ultrasonography via UMP were studied in association with gastroscope before and 2, 4, 8 and 12 weeks after EVL to define the calibre of varices, dilatation of deep varices and establishment of communicating channels. Results Prior to EVL with UMP the EVs could be viewed and measured; there existed also varices and collateral veins in deep layer of gullet. After EVL ultrasonography showed variceal contractures, same as that seen in gastroscopy. 3/7 cases with so- called Fo (free of varicosity) under gastroscope were found still to have varices by UMP. Fibrosis within esophageal mucosa occurred two weeks after EVL. Collateral circulation initiated by 4 weeks and developed to maximum at about 12 weeks. Conclusion Endoscopic ultrasonography is an advanced technique to evaluate the efficacy of EVL and thereby is likely to predict the prognosis. |
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| Keywords: | Endoscopic variceal ligation Ultrasonic microprobe |
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