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Endoscopic ultrasound in diagnosis and therapeutical evaluation of esophageal and gastric varices

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Author:
No author available
Journal Title:
WORLD CHINESE JOURNAL OF DIGESTOLOGY
Issue:
10
DOI:
10.3969/j.issn.1009-3079.2000.10.016
Key Word:
超声内镜;食管和胃静脉曲张/诊断;食管和胃静脉曲张/治疗;消化系统疾病;出血;肝硬化;硬化疗法

Abstract´╝Ü @@ 急性消化道出血是消化系疾病中常见的临床症状,其中肝硬变失代偿导致的食管或胃底静脉曲张(esophageal varices,EV/gastric varices,GV)破裂出血尤为棘手,严重时常危及生命,因此,准确的诊断和对治疗疗效的判断至关重要.近年来,国内外应用硬化剂、组织粘合剂(如histoacryl)、皮圈套扎等在紧急内镜止血及预防治疗上取得了显著疗效,但对于上述各治疗方法的疗效评价仍缺乏客观的依据及相对量化的标准且有时仅依赖常规内镜下的肉眼判断,尤其是对胃底曲张静脉的诊断还不够准确.我们复习近期文献同时结合作者自己的临床实践体验,对超声内镜(endoscopic ultrasonography,EUS)在食管和胃底曲张静脉诊断及治疗疗效判断中的临床应用作一概述.

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