Tüma J, Tecl F
Klinika dĕtské chirurgie a traumatologie FDN a LF MU, Brno.
Rozhl Chir. 1995 Dec;74(8):392-4.
The authors present their experience with the endoscopic treatment of oesophageal varices in children. During 1991-1994 they treated 21 children where they performed a total of 156 sclerotizations. The mean age of the patients was 10.08 years. In 17 instances the prehepatic type of portal hypertension was involved, in four the intrahepatic type. In 13 children the varicosities were eradicated. A relapse was recorded in three cases. From the total number of sclerotizations the authors recorded complications 14 times. They emphasize the success of the method used: a minimal number of complications; a reduction of the number of pretentious devascularization operations in haemorrhage from oesophageal varices. Also the number of sclerotizations proper decreased, as many patients suffer no longer from haemorrhage and they do not have varices which require sclerotizations.
作者介绍了他们对儿童食管静脉曲张进行内镜治疗的经验。在1991年至1994年期间,他们治疗了21名儿童,共进行了156次硬化治疗。患者的平均年龄为10.08岁。其中17例为肝前型门静脉高压,4例为肝内型。13名儿童的静脉曲张被根除。3例出现复发。在总共的硬化治疗中,作者记录到14次并发症。他们强调所采用方法的成功之处:并发症数量极少;减少了因食管静脉曲张出血而进行的复杂去血管化手术的数量。此外,实际进行硬化治疗的次数也减少了,因为许多患者不再出血,也没有需要进行硬化治疗的静脉曲张。