【作者】 罗宏武； 黄飞舟； 刘波； 刘浔阳；

【Author】 LUO Hong - wu, HUANG Fei -zhou, LIU Bo, LIU Xun -yang (The Third Xiangya Hospital of Central South University, Changsha, Hunan 410013 , P. R. China)

【机构】 中南大学湘雅三医院普外科；

【摘要】 目的评价腔内外联合断流术治疗食管静脉曲张疗效及其对奇静脉血流动力学的影响。方法115例患者随机分为3组:内镜结扎组(54例)、断流手术组(30例)及腔内外联合断流组(31例),治疗前后用彩色多普勒超声检测奇静脉血流动力学各项指标。结果治疗后3组奇静脉血流量较前分别下降31%、32%和43%。1 a内3组复发率分别为40%、37%和6%,再出血率分别为11%、11%和0。结论腔内外联合断流较单一的治疗方法能更好地阻断门奇静脉侧支血流从而治疗食管静脉曲张出血。更多还原

【Abstract】 [Objective] To assess the clinical value of endoscopic varices ligation combinated with Hassab’s procedure in the treatment of esophageal varices and influence on azygos blood flow (ABF). [Methods] Patients (115 cases) with esophageal varices were randomized to receive either endoscopic variceal ligation (EVL) alone (54 cases) , Hassab’s procedure alone (30 cases) or a combination of EVL and Hassab’s procedure (31 cases) for variceal eradication. Azygos blood flow (ABF) was measured with color Doppler ultrasonography. [Results] After treatment ABF were decreased by 31% , 32% and 43% respectively, esophageal varices reoccurred were 40% , 37% and 6% respectively in EVL, Hassab’s procedure alone and combination of the two. [Conclusions] The combination of EVL and Hassab, s procedure can effectively prevent esophageal varices bleeding.更多还原