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目的内镜治疗被认为是食管静脉曲张出血最理想的一线疗法。本文探讨单环套扎术的疗效。方法胃镜下单环套扎法治疗食管静脉曲张。结果末次套扎2个月后,静脉曲张消除率(指食管静脉血管缩小到无法治疗)为66%(20/30);静脉曲张程度减轻33%(10/30)。半年内再出血率为3%。单环套扎术无明显并发症;每例次每环费用为150元人民币。结论单环套扎术有下列优点:①技术操作容易;②静脉曲张根治较快;③再出血率低;④较多环套扎费用低廉。
Endoscopic treatment is considered the best first-line therapy for esophageal variceal bleeding. This article explores the efficacy of single loop ligation. Methods Endoscopic single ring ligation in the treatment of esophageal varices. Results After 2 months of the last ligation, the rate of varicose veins (esophageal veins reduced to untreated) was 66% (20/30); varicose degree was 33% (10/30). Rehydration rate within 6 months was 3%. Single ring ligation no significant complications; each case costs 150 yuan for each ring. Conclusion Single ring ligation has the following advantages: ① technical operation is easy; ② varicose root cure faster; ③ rebleeding rate is low; ④ more ring ligation costs are low.