影响食管静脉曲张出血硬化治疗近期疗效的主要因素

目的分析食管静脉曲张破裂出血治疗后近期内再出血的主要原因，以提高内镜下硬化治疗的成功率。方法我院消化内科从1995年1月至2004年6月，使用硬化剂对573人次食管静脉曲张患者行内镜下静脉注射。结果在内镜下硬化治疗的573人次中有59人在1个月内发生再出血。结论食管静脉曲张破裂出血硬化治疗后近期内再出血与患者的性别、年龄、肝硬化的原因、使用硬化剂种类的关系不大，而与肝功能的储备能力、门脉压力、出血量、有无合并胃底静脉曲张、是否合并肝癌以及操作者的水平等密切相关。

The chief factor affecting short-term curative effect of the ossifying therapy to esophagus varicosity hemorrhage

Objective To analyze the causation of short-term rehemorrhage after the ossifying therapy to esophagus varicosity burst hemorrhage, increase the curability of ossifying therapy with endoscopes. Methods From January 1995 to June 2004, 573 person-times were made mainlines with ossifying medicament to esophagus varicosity patients with the help of endoscopes. Results There were 59 patients rehemorrhaging within one month among those who had received the ossifying therapy with endoscopes. Conclusion Short-term rehemorrhage after the ossifying therapy to esophagus varicosity burst hemorrhage has little relation with sex, age, cause of hepatocirrhosis and type of ossifying medicament. But it has close relation with storage capability of liver function, pulse pressure, hemorrhage volume, whether there is stomach varicosity together, whether there is liver cancer together and the skill of the operator.