内镜套扎术在治疗食管静脉曲张破裂出血中的临床应用价值

目的探讨内镜下食管静脉曲张套扎术（EVL）治疗和预防肝硬化患者食管静脉曲张破裂出血的临床应用价值。方法回顾性分析2008-01～2012-01该院142例肝硬化食管静脉曲张破裂出血患者,其中行EVL治疗74例（治疗组）,内科保守治疗68例（对照组）,并对其临床疗效进行随访观察。结果所有患者随访6个月以上,治疗组的早期再出血率、迟发出血率、曲张静脉好转率、复发率、手术率及病死率均低于对照组（P〈0.05或〈0.01）。结论 EVL能有效地降低肝硬化门脉高压患者食管静脉曲张的程度,降低再出血率、复发率、手术率和病死率,是一种有效的内镜治疗手段。

Clinical value of treating esophageal variceal bleeding by endoscopic variceal ligation

Objective To evaluate the clinical value of treating and preventing esophageal variceal bleeding by endoscopic variceal ligation（EVL）.Methods The clinical data of 142 liver cirrhosis patients with esophageal variceal bleeding treated in our hospital from January 2008 to January 2012 was collected,of them 74 patients received EVL（treatment group） and 68 patients received internal medicine treatment（control group）,and their efficacy were followed up.Results All the patients were follow-up for 6 months or more.The early rebleeding rate,the delayed rebleeding rate,varicose veins improvement rate,the recurrence rate,operation rate in the treatment group were lower than those in the control group.Comparing the two groups were significantly different（P ＆lt; 0.05 or P ＆lt; 0.01）.Conclusion EVL can effectively reduce the extent of esophageal varices,reduce the rebleeding rate,recurrence rate,operation rate and mortality rate in the liver cirrhosis patients with portal hypertension,it is an effective methods of endoscopic therapy.