影响食管静脉曲张内镜硬化治疗成功的因素。
Factors affecting successful endoscopic sclerotherapy for oesophageal varices.
作者信息
Rose J D, Crane M D, Smith P M
出版信息
Gut. 1983 Oct;24(10):946-9. doi: 10.1136/gut.24.10.946.
Abstract
Forty patients with bleeding oesophageal varices were studied during treatment by endoscopic sclerotherapy to discover what factors determine successful outcome. Large varices required more injections than small varices for obliteration, and rebleeding during treatment occurred only in patients with large varices. Radiological studies with sclerosant contrast mixture showed that in two groups of varices of comparable size, intravenous sclerosant was significantly more effective, leading to thrombosis in 8/10 as opposed to only 3/10 after paravasal injection (p less than 0.05). Intravenous contrast was rapidly cleared upwards, whereas paravasal contrast formed a rounded opacity alongside the vein that persisted for approximately 90 minutes, responsible for the complications of oesophageal ulceration and stenosis.
摘要
对40例食管静脉曲张出血患者进行内镜硬化治疗，以探究决定治疗成功的因素。大静脉曲张比小静脉曲张闭塞所需的注射次数更多，且治疗期间再出血仅发生在大静脉曲张患者中。用硬化剂造影剂进行的放射学研究表明，在两组大小相当的静脉曲张中，静脉内注射硬化剂明显更有效，导致10例中有8例发生血栓形成，而旁静脉注射后仅10例中有3例发生血栓形成（p<0.05）。静脉内造影剂迅速向上清除，而旁静脉造影剂在静脉旁形成一个圆形不透明区，持续约90分钟，这是食管溃疡和狭窄并发症的原因。
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本文引用的文献
1
[Esophageal varices hemorrhage in portal hypertension: therapy and prevention].门静脉高压症食管静脉曲张出血：治疗与预防
Wien Med Wochenschr. 1960 Jul 9;110:581-3.
2
Simplified fibre endoscopic sclerotherapy for oesophageal varices.简化纤维内镜下食管静脉曲张硬化疗法
J R Coll Physicians Lond. 1982 Oct;16(4):236-8.
3
Prophylactic endoscopic sclerosing treatment of the esophageal wall in varices -- a prospective controlled randomized trial.内镜下对食管壁静脉曲张进行预防性硬化治疗——一项前瞻性对照随机试验。
Endoscopy. 1982 Jan;14(1):4-5. doi: 10.1055/s-2007-1021560.
4
Oesophageal varices treated by sclerotherapy: a histopathological study.硬化疗法治疗食管静脉曲张：一项组织病理学研究。
Gut. 1982 Jul;23(7):615-20. doi: 10.1136/gut.23.7.615.
5
Portal hypertension, size of esophageal varices, and risk of gastrointestinal bleeding in alcoholic cirrhosis.酒精性肝硬化患者的门静脉高压、食管静脉曲张大小与胃肠道出血风险
Gastroenterology. 1980 Dec;79(6):1139-44.
6
Increased long-term survival in variceal haemorrhage using injection sclerotherapy. Results of a controlled trial.注射硬化疗法提高静脉曲张出血患者的长期生存率。一项对照试验的结果。
Lancet. 1982 Jan 16;1(8264):124-7. doi: 10.1016/s0140-6736(82)90378-6.
7
Effect of injected sclerosant (tetradecyl sulphate of sodium) on rat veins.注射硬化剂（十四烷基硫酸钠）对大鼠静脉的影响。
Angiologica. 1968;5(6):386-96.
8
Transection of the oesophagus for bleeding oesophageal varices.为治疗食管静脉曲张出血而行食管横断术。
Br J Surg. 1973 Aug;60(8):646-9. doi: 10.1002/bjs.1800600817.
9
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Ann Surg. 1973 Jan;177(1):99-102. doi: 10.1097/00000658-197301000-00018.
10
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Br Med J. 1979 Sep 29;2(6193):766-7. doi: 10.1136/bmj.2.6193.766.
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