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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:选取我院2009年1月至2014年1月收治的140例食管静脉曲张破裂出血患者作为研究对象,随机分为观察组和对照组,分别采用EVL序贯EVS与仅采用EVL治疗。观察比较成功止血率、静脉曲张消失率、再出血率、静脉曲张复发率、并发症发生率等情况。结果:两组成功止血率、静脉曲张消失率相比无统计学差异(P>0.05);观察组再出血率、静脉曲张复发率、并发症发生率分别为11.42%,4.28%,17.14%,均明显低于对照组(P<0.05)。结论:EVL序贯EVS治疗食管静脉曲张疗效显著,是当前治疗食管静脉曲张的有效方法,值得进一步临床推广。
Objective: To investigate the clinical efficacy of endoscopic ligation sequential sclerosis in the treatment of esophageal varices. Methods: A total of 140 patients with esophageal variceal bleeding admitted to our hospital from January 2009 to January 2014 were selected as study subjects and randomly divided into observation group and control group. EVL sequential EVS and EVL alone were used respectively. Observe and compare the success rate of hemostasis, varicose veins disappearance rate, rebleeding rate, recurrence rate of varicose veins, complication rate and so on. Results: There was no significant difference between the two groups in the rate of successful hemostasis and disappearance of varicose veins (P> 0.05). The rebleeding rate, recurrence rate of varicose veins and complication rate in the observation group were 11.42%, 4.28%, 17.14% Were significantly lower than the control group (P <0.05). Conclusion: EVS sequential EVS treatment of esophageal varices significant effect is currently an effective method of treatment of esophageal varices, worthy of further clinical promotion.