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目的探讨内镜下套扎序贯硬化治疗食管静脉曲张的临床疗效。方法对梧州市人民医院2010年1月至2013年1月间收治的40例肝硬化食管静脉曲张患者的临床资料进行回顾性分析,A组20例,采取内镜下套扎序贯硬化治疗;B组10例,采取内镜下硬化治疗;C组10例,采取内镜下套扎治疗。观察对比三组患者的治疗情况。结果治疗后,A组静脉曲张消失率略高于B、C组,再出血率略低于B、C组,但差异均未见统计学意义(P>0.05);B组并发症发生率明显低于A组(P<0.05),C组复发率明显高于A组(P<0.05)。结论内镜下套扎序贯硬化治疗食管静脉曲张,静脉曲张消失率高、并发症发生率和复发率低,近远期临床疗效显著,有推广应用价值。
Objective To investigate the clinical efficacy of endoscopic ligation and sequential sclerosis in the treatment of esophageal varices. Methods The clinical data of 40 patients with esophageal varices of liver cirrhosis who were treated in Wuzhou People ’s Hospital from January 2010 to January 2013 were analyzed retrospectively. Group A (20 cases) received endoscopic ligation and sequential sclerotherapy. B group of 10 cases, to endoscopic sclerotherapy; C group of 10 cases, to take endoscopic ligation. Observed and compared the treatment of three groups of patients. Results After treatment, the disappearance rate of varicose veins in group A was slightly higher than that in group B and C, and the rate of rebleeding was slightly lower than that in group B and C (P> 0.05). The incidence of complications was significantly higher in group B Lower than that in group A (P <0.05), and the recurrence rate in group C was significantly higher than that in group A (P <0.05). Conclusions Endoscopic esophagogastric varices are cured by endosseous ligation. The rate of disappearance of varicose veins is high, the complication rate and recurrence rate are low. The clinical curative effect in the short and long term is significant, which has the value of popularization and application.