肝硬化食管静脉曲张出血血管硬化剂联合套扎术的远期疗效观察

目的：研究肝硬化食管静脉曲张破裂大出血，出血量＞1000ml，经注射血管硬化剂联合皮圈套扎术治疗三年后，观察其无期疗效。方法：先急诊注射硬化剂，出血停止二周后再行套扎术，剩余少许曲张静脉再注射硬化剂。并与单独注射硬化剂组远期疗效进行对比观察。结果：远期再出血率单独组35．4％，联合组7．5％。结论：出血期间注射硬化剂能急诊止血，再皮圈套扎能使曲张静脉消失，远期疗效观察，可预防和减少再出血。与单独注射血管硬化剂相比（P＜0．05）。具有操作简便、并发症少

Long-term effect of massive hemorrhage of esophageal varices by endoscopic sclerotherapy combination with endoscopic ligation.

Objective:To observe the long-term effect of massive hemorrhage of esophageal varices after three years by endoscopic sclerotherapy combination with endocopic ligation.Methods:53 patients with massive hemorrhage of esophageal varices were injected by angiosclerotic agent in emergency treatment,endoscopic ligation were done in the two weeks of bleeding stoppage,a few patients of varices were re-injected by angiosclerotic agent.62 patients were injected only by angiosclerotic agent.The long-term effect of two treatment groups were compared.Results:The rate of re-hemorrhage in the group only injected by angiosclerotic agent was 35.3%.The rate of re-hemorrhage in the group by endoscopic sclerotherapy combination with endoscopic ligation was 7.5%.Conclusion:During hemorrhage,endoscopic sclerotherapy might rapidly stop bleeding,varies might disappear by endoscopic ligation.Compared with endoscopic sclerotherapy,long-term effect of massive hemorrhage of esophageal varices by endoscopic sclerotherapy combination with endoscopic ligation might prevent and decrease re-hemorrhage.