摘要目的 探讨内镜下使用硬化剂治疗食管静脉曲张出血的疗效.方法 选择2009年2月至2011年4月太钢总医院收治的食管静脉曲张患者60例,平均分为两组,每组30例.A组采用注射硬化剂疗法,B组采用常规药物疗法.观察两组患者急诊止血率,曲张静脉消失率,远、近期再出血率,以及曲张静脉复发率.结果 A组近期出血率为8.66％,B组为43.94％;A组急诊止血率为92.17％,B组为72.65％;A组曲张静脉消失率为85.24％,B组为2.15％,差异均有统计学意义(P均＜0.05).A组远期出血率为34.42％,B组为63.54％;A组曲张静脉复发率为42.65％,B组为84.73％,差异均有统计学意义(P均＜0.05).结论 内镜下使用硬化剂治疗食管静脉曲张出血的疗效显著.

abstractsObjective To evaluate the efficacy of endoscopic treatment of sclerosing agent on esophageal variceal hemorrhage.Methods Sixty cases of esophageal variceal of department of gastroenterology in the general hospital of Taigang from February 2008 to April 2012 were divided into two groups,group A and group B,with 30 cases in each group.Group A received injection of sclerosing agent,and group B got drug treatment.In the course of treatment,emergency hemostatic rate,variceal dispersion rate,the rebleeding rate in long-term and short-term,varices recurrent rate were observed.Results The rebleeding rate in short-term of group A was 8.66％,the rebleeding rate in short-term of group B was 43.94％.The emergency hemostatic rate of group A was 92.17％,the emergency hemostatic rate of group B was 72.65％.The variceal dispersion rate of group A was 85.24％,the variceal dispersion rate of group B was 2.15％ (Pall ＜0.05).The rebleeding rate in long-term of group A was 34.42％,the rebleeding rate in long-term of group B was 63.54％,The varices recurrent rate of group A was 42.65％,the varices recurrent rate of group B was 84.73％ (Pall ＜0.05).Conclusions Treatment of esophagus variceal hemorrhage by injection of sclerosing agent endoscopic can remarkably enhance the curative effect.