关键词: 内镜结扎;食管和胃静脉曲张;肝硬化;消化道出血

    摘 要:目的 作者多年采用内镜下结扎治疗食管静脉曲张(EVL)，研究远期疗效及并发症. 方法 住院肝硬化合并中重度食管静脉曲张破裂出血患者105例，在出血后72h或无出血时择期行EVL.结扎后分别在4wk，6mo，1和2a进行追踪及胃镜随访复查.4wk内结果作为近期疗效判断;6mo以上结果作为远期疗效评价. 结果 静脉曲张近期根治率及总有效率分别为80%和86%.6mo后共随访到75例，其远期根治率及总有效率分别为51%和77%，与近期疗效比较有显著性差异(P<0.05).而近期与远期再出血率及死亡率比较，无显著变化(P>0.05). 结论 EVL近期疗效确切，安全可靠.但远期疗效并非乐观，常需重复行EVL治疗或进行手术治疗.

    Evaluation of long┐term effect of endoscopic liga┐tion of bleeding esophageal varices

    HUANG Yu-Xin，WEN Qin-Sheng，ZHANG Shao-Ling，MU Ling

    Department of Gastroenterology，Tangdu Hospital，Fourth Military Medical University，Xi'an710038，China

    Keywords:endoscopic ligation;esophagus and gastric varix;liver cirrhosis;hemorrhage of digestive tract

    Abstract:AIM To make a follow-up study of endoscopic esophagus varix ligation(EVL)cases in the past several years and evaluate their long-term effectiveness and complica┐tions.METHODS 105hospitalized patients of hepato-cir-rhosis with moderate and serious hemorrhagic varix of esoph-agus underwent EVL at72h after bleeding or at a time when no bleeding was observed.Follow-up study and gastroscopy were made of the patients at4weeks ......