食管静脉曲张

食管静脉曲张治疗：内镜下硬化和EUS引导下硬化治疗食管侧支静脉的随机对照研究

Treatment of esophageal varices : A randomized controlled trial comparing endoscopic sclerotherapy and EUS-guided sclerotherapy of esophageal collateral veins

目的探讨川芎嗪配伍心得安预防肝硬化食管静脉曲张破裂出血（esophagealvaricesbleeding，EVB）复发的效果及其作用机制。

Objective To assess the efficacy of Ligustrazine in combination with propranolol in the prevention of recurrent esophageal varices bleeding following liver cirrhosis , and its act mechanism .

食管静脉曲张侧支循环的CT门静脉成像研究

CT portal venography of collateral veins in esophageal varices

目的：探讨多层螺旋CT检查在肝硬化患者食管静脉曲张诊断和分级中的价值。

Aims : To appraise the value of multislice spiral CT in detecting and grading of esophageal varices in cirrhotic patients .

术后1～10年间，B组食管静脉曲张再出血率及再出血死亡率显著低于A组；

During 1 ~ 10 years of postoperation , bleeding rate and bleeding mortality in Group B were significantly lower than those in .

血浆NO、ET水平和肝硬化食管静脉曲张出血相关性研究

Plasma NO and ET levels in patients with cirrhosis : association with esophageal varicosity hemorrhage

方法：16例食管静脉曲张破裂出血病人，ChildA级5例，B级8例，C级3例。

METHODS There were 16 patients with bleeding varices . Five patients were Child class A , 8 class B , 3 class C .

重复硬化与套扎治疗预防肝硬化食管静脉曲张再出血的Meta分析

Meta-analysis of repeated endoscopic sclerotherapy and ligation for prevention of esophageal variceal rehaemorrhagia in cirrhosis

通过对门静脉高压病人门静脉系统及其侧支循环的CT扫描，研究相关指标在预测胃底、食管静脉曲张破裂出血的敏感度、特异度以及可能预测出血的临界点。

To observe and measure portal vein and varicose vein in esophagus and gastric fundus of the portal hypertension by CT , try to find a marker to predict the upper gastrointestinal hemorrhage .

食管静脉曲张破裂出血患者善宁治疗前血清ACE浓度明显高于治疗72小时后的水平。

The serum ACE level in patients with liver cirrhosis before treatment was significantly higher than that 72 hours after treatment .

结论EVS对食管静脉曲张出血仍是一重要治疗方法。

Conclusions EVS is an important method of treatment for esophageal variceal bleeding .

目的总结食管静脉曲张破裂大出血极危重患者在急诊内镜下行硬化治疗（EIS）的经验。

Objective To evaluate the effective of emergent endoscopic injection sclerotherapy ( EIS ) for lethal bleeding from esophagogastric varices .

目的探讨肝硬化及食管静脉曲张与血浆降钙素基因相关肽（CGRP）的关系。

Objective To investigate the relationship between esophageal varices and plasma calcitonin gene related peptide ( CGRP ) in liver cirrhosis .

目的观察食管静脉曲张（EV）破裂出血内镜套扎治疗的疗效和并发症。

Objective To observe the therapeutic effects and complications of endoscopic variceal ligation ( EVL ) in the treatment of EV bleeding .

结论TIPS与改良Sugiura术联合运用能有效地防治食管静脉曲张出血。

Conclusion Combination of TIPS and a modified Sugiura procedure can be effective to prevent and treat variceal bleeding .

血浆及胃粘膜中VIP的含量与胃、十二指肠粘膜充血程度呈正相关（P＜0.05）；重度食管静脉曲张患者VIP含量显著高于无食管静脉曲张者（P＜0.05）；

A positive correlations was noted between contents of VIP and the degree of congestion of gastroduodenal mucosa ( P < 0 . 05 ) and esophageal varices ( P < 0.05 ) .

三组性别、年龄、体重、食管静脉曲张形态、Child-Pugh分级差异无显著性（P0.05）。

There was no difference of patients ' gender , age , weight , esophageal varices morphology and Child-Pugh grading in three groups ( P0.05 ) .

方法：采用紫外光度比色分析法测定40例肝硬化食管静脉曲张破裂出血患者善宁治疗前、后及20例健康对照者血清ACE浓度。

METHODS : Serum ACE was measured by UV - spectrocolorimetry in 40 cases of liver cirrhosis with esophageal varices hemorrhage before and after sandostatin therapy and 20 healthy controls .

EVL术后服用哌唑嗪可降低门静脉压力，降低食管静脉曲张复发、EVB再发率，提高生存率（P＜0.01）。

Prazosin can decrease the pressure of portal vein and the recurrence rate of EVB and increase survival rate after ligation ( P < 0.01 ) .

目的探讨内镜下食管静脉曲张套扎术（EVL）前后的护理方法。

Objective To approach the nursing methods before and after esophageal varices loop ligature using endoscope ( EVL ) .

目的比较肝硬化患者血浆内皮素1（ET1），肿瘤坏死因子α（TNFα）、透明质酸（HA）、Ⅳ型胶原（Ⅳ·C）含量变化，并探讨其与食管静脉曲张的关系。

Objective To compare the contents of endothelin-1 ( ET-1 ), tumor necrosis factor - α( TNF - α), hyaluronic aid ( HA ) and collagen type ⅳ(ⅳ· C ) in patients with hepatocirrhosis .

结论：EVL联合EVS对食管静脉曲张破裂出血的近期和远期疗效明显优于手术组。

Conclusion : The effect of the combination of EVL and EVS for esophageal varices bleeding had an advantage over operation .

结果EVL治疗后食管静脉曲张总消失率为88.48%，食管静脉曲张复发率27.27%。

Results Total disappear rate of esophageal varices was 88.48 % , and the recurrence of esophageal varices was 22.27 % .

目的分析食管静脉曲张快速结扎术后（EVL）早期再发出血原因及减少其发生的方法。

Objective To analyze causes of early rebleeding after endoscopic varices ligation ( EVL ) and the processes of reducing it .

目的：探讨食管静脉曲张套扎术（EVL）结合药物综合治疗食管静脉曲张破裂出血的临床效果。

Objective : Esophageal variceal ligation ( EVL ) combined with the integrated drug treatment of esophageal variceal bleeding of clinical effect .

目的明确内镜下食管静脉曲张结扎术（EVL）后早期再出血率并分析其危险因素。

Objective To summarize the early rebleeding rate after Endoscopic variceal ligation ( EVL ) as well as to analyze the risk factors .

目的了解套扎与硬化夹心联合法治疗食管静脉曲张出血（EVB）能否获得优于单纯硬化（EIS）的疗效。

Objective To evaluate whether a combinded endoscopic sandwich method ( EBL-EIS-EBL ) achieves better results than sclerotherapy alone in the treatment of esophageal variceal bleeding .

Rockall危险性评分判断肝硬化食管静脉曲张破裂出血患者再出血风险的价值

Value of Rockall risk score judging rebleeding risk in liver cirrhosis patients with esophageal variceal bleeding

方法对516例肝硬化并食管静脉曲张出血（EVB）患者分别采用EVS、EVL治疗及二者联合治疗。

Methods EVS , EVL and the combined therapy were performed in 516 cases of liver cirrhosis with endoscopic variceal bleeding ( EVB ) .

结果①食管静脉曲张在CTPV上的范围及程度与胃镜有很好的相关性。

Results ① The location , degree of esophageal varices on CTPV were highly correlated with the findings of the endoscopies .