巴楚医学2025，Vol.8Issue(2)：91-95,5.DOI:10.3969/j.issn.2096-6113.2025.02.015
胃镜下不同方法治疗肝硬化食管胃底静脉曲张破裂出血的临床疗效分析
Clinical Efficacy of Different Methods for Treating Esophagogastric Variceal Bleeding in Liver Cirrhosis under Gastroscopy
摘要
Abstract
Objective:To evaluate the clinical efficacy of gastroscopic esophageal and gastric variceal ligation and sclerotherapy in the treatment of esophagogastric variceal bleeding(EVB)secondary to liver cirrhosis.Methods:A retrospective study was conducted on 90 patients with liver cirrhosis and EVB who were treated at Yichang Central People's Hospital from January 2019 to October 2024.Patients were divided into two groups based on the endoscopic treatment method,the endoscopic injection sclerotherapy(EIS)group(n=41),who received sclerotherapy combined with tissue adhesive injection(HI),and the endoscopic variceal ligation(EVL)group(n=49),who underwent variceal ligation combined with HI.The clinical efficacy of the two groups was compared.Results:Compared to the EIS group,the EVL group showed a significantly lower rebleeding rate at one month(2.04％vs 17.07％)and three months(18.37％vs 39.02％)postoperatively,as well as a significantly higher treatment efficacy rate(97.96％vs 80.49％)(all P＜0.05).However,the incidence of postoperative complications was higher in the EVL group(32.65％vs 7.32％,P＜0.05).Conclusion:EVL combined with HI effectively reduces the rebleeding rate at one and three months postoperatively and improves treatment efficacy in patients with cirrhotic EVB.However,it is associated with a higher incidence of postoperative complications.关键词
肝硬化/食管胃底静脉曲张破裂出血/静脉曲张套扎/硬化剂注射Key words
liver cirrhosis/esophagogastric variceal bleeding(EVB)/variceal ligation/sclerotherapy分类
医药卫生引用本文复制引用
杨智,仝巧云..胃镜下不同方法治疗肝硬化食管胃底静脉曲张破裂出血的临床疗效分析[J].巴楚医学,2025,8(2):91-95,5.基金项目
国家自然科学基金项目(82100566) （82100566）
