Research indexJournal article
食管静脉曲张出血结扎硬化联用与单纯结扎疗效比较
Zhang
Chin J Postgrad Med5 Jan 2013
NobleIDark:/48914/w1/20260515/1660EC8CDOI10.3760/cma.j.issn.1673-4904.2013.01.027
Journal article
食管静脉曲张出血结扎硬化联用与单纯结扎疗效比较
Zhang · Chin J Postgrad Med · 2013 · Subscription
NobleIDark:/48914/w1/20260515/1660EC8CDOI10.3760/cma.j.issn.1673-4904.2013.01.027
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Abstract
目的 比较内镜下食管静脉曲张结扎(EVL)联合食管静脉曲张硬化(EVS)和单纯EVL治疗食管静脉曲张的疗效.方法 将86例食管静脉曲张患者按随机数字表法分为联合组(46例)和EVL组(40例),EVL组实施EVL,两联合组先行1次EVL,紧接进行EVS,静脉曲张根除后随访15个月.结果 术后联合组急诊止血率、静脉曲张根除缩小率及生存率与EVL组比较差异均无统计学意义(P＞0.05).联合组再出血率6.5％(3/46),静脉曲张复发率13.3％(6/45),EVL组再出血率17.5％(7/40),静脉曲张复发率28.2％(11/39),两组比较差异有统计学意义(P＜0.05).结论 EVL联合EVS相比单纯EVL治疗食管静脉曲张远期疗效可观。