摘要
目的 评估LDRf分型方法在食管胃静脉曲张诊断和治疗中的作用。方法 回顾2011年5月至2012年5月间采用LDRf分型方法进行食管胃静脉曲张病例内镜诊治的情况,并与之前一年内采用中华消化内镜学分会2003年分型方法的诊治情况进行对比分析。结果 LDRf分型组与原分型组两组急诊止血成功率分别为98.4%(126/128)和95.8%(161/168);接受单次内镜治疗的比例分别为33.8%(23/68)和42.9%(30/70);接受内镜下连续治疗的比例分别为66.2%(45/68)和57.1%(40/70);治疗后3个月静脉曲张完全根除率42.2%(19/45)和40.0%(16/40),基本消失率53.3%(24/45)和57.5%(23/40)。结论 LDRf分型方法对食管胃静脉曲张的内镜治疗有积极的指导意义,但不对疗效产生影响。
Objective To evaluate the value of LDRf classification system for gastroesophagealvarices. Methods Comparative analysis the different results of endoscopic therapy according to the twodifferent classification. Results LDRf classification group versus the old classification group, the successrate of hemostasis: 98.4 % ( 126/128 ) versus 95.8 % ( 161/168 ). Received single endoscopic therapy:33.8 % ( 23/68 )versus 42.9 % ( 30/70 ). Received continuous endoscopic therapy: 66.2 % ( 45/68 )versus 57.1 %( 40/70 ). Three months later, completely variceal eradication rate: 42.2 %( 19/45 )versus40.0 % ( 16/40 ), nearly complete variceal eradication rate: 53.3 % ( 24/45 )and 57.5 % ( 23/40 ).Conclusions The LDRf classification is significative in endoscopic therapy for gastroesophageal varices,but effective is not affected.
出处
《中华腔镜外科杂志（电子版）》
2012年第5期27-29,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
