急诊内镜静脉断流术治疗上消化道静脉曲张破裂出血的临床疗效

Emergency endoscopic selective varies devascularization treatment for esophagogastric variceal bleeding

摘要:

探讨急诊内镜静脉断流术（ESVD）治疗上消化道静脉曲张破裂出血的临床疗效。方法?回顾性分析2016年1月-2017年9月在大连大学附属中山医院消化内科接受急诊ESVD治疗的45例肝硬化食管胃静脉曲张破裂出血患者，统计分析ESVD治疗次数，术前及术后临床指标变化，术后复查内镜和随访情况，分析其有效性、安全性及相关性。结果?45例患者均成功完成急诊ESVD治疗，ESVD治疗次数73次，急诊内镜治疗的成功率97.8%（44/45），ESVD治疗后静脉曲张有效率97.8%（44/45）。术后随访期间5例患者术后迟发性出血，再出血的发生率11.1%（5/45），2例患者术后出现肺内感染，呼吸衰竭导致死亡，死亡率4.4%（2/45）。结论?急诊ESVD可以作为一种安全有效的上消化道静脉曲张破裂出血的临床方法。

Abstract:

To evaluate the clinical efficacy, safety and risk of emergency endoscopic selective varies devascularization (ESVD) in treatment of esophagogastric variceal bleeding.?Methods?45 cases of liver cirrhosis with esophagogastric variceal bleeding were treated with ESVD. The data of preoperative and postoperative vital signs, changes in indicators and postoperative endoscopy review and follow-up were analyzed. The effect, safety and correlation were observed.?Results?After ESVD, the success rates, effect, complication and death were respectively 97.8%, 97.8%, 11.1%, 4.4%.?Conclusion?The effect of the ESVD is remarkable and safe.