Bátovský M, Vavrecka A, Olejník J, Cerný J
Academician L. Dérer Hospital, Bratislava.
Czech Med. 1988;11(4):195-204.
The authors present their experience with the outcome of gastrofibroscopic sclerotherapy of oesophageal varices, performed in a total of 70 patients with portal hypertension. All patients were classified in classes B and C according to Child's criteria, and 68 of them had variceal bleeding before receiving sclerotherapy. Acute bleeding was successfully arrested in seven cases, and elective sclerotherapy in between bleeding episodes was carried out in 60 cases. To date, complete obliteration has been noted in 34 patients. An effect of previous sclerotherapy was observed during the next therapeutic session in 18, and eight patients died from progressive hepatic insufficiency. In the discussion section, the authors analyse current concepts on the technique of sclerotherapy related to complications, on instrumentarium and sclerosing solutions, and on the significance of prophylactic, acute and elective sclerotherapy, with the importance of endoscopic sclerotherapy of oesophageal varices perceived mainly in comparison with the results of surgery from the point of view of long-term patient survival.
作者介绍了他们对70例门静脉高压患者进行食管静脉曲张纤维胃镜硬化治疗的结果。所有患者根据Child标准分为B级和C级，其中68例在接受硬化治疗前有静脉曲张出血。7例急性出血成功止血，60例在出血间期进行了选择性硬化治疗。迄今为止，34例患者静脉曲张完全消失。18例患者在下一次治疗时观察到先前硬化治疗的效果，8例患者死于进行性肝功能不全。在讨论部分，作者分析了与并发症、器械和硬化剂溶液相关的硬化治疗技术的当前概念，以及预防性、急性和选择性硬化治疗的意义，从长期患者生存的角度来看，食管静脉曲张内镜硬化治疗的重要性主要是与手术结果相比较而言的。
