Abstract:

Objective To evaluate the therapeutic effect of endoscopic ligation in the treatment of advanced schistosomiasis
patients with esophageal variceal bleeding. Methods A total of 130 advanced schistosomiasis patients with esophageal varices
rupture and bleeding were divided into a ligation group（68 cases）and a control group（64 cases），and the patients of ligation
group were treated with the emergency endoscopic ligation，and the patients of control group received the routine therapy. The re?
bleeding rate，hemostatic success rate，and varicose veins red color sign were observed. Results In the ligation group，the re?
bleeding rate was 10.3% and the positive rate of varicose veins red color sign was 8.8%，which were better than those in the control
group（both P values < 0.01）. Conclusion Endoscopic ligation is an effective therapy for esophageal variceal bleeding.

Key words: Advanced schistosomiasis；Esophageal variceal；Ligation

摘要：

目的 探讨内镜下套扎治疗晚期血吸虫病食道静脉曲张破裂出血的效果。方法 130例晚期血吸虫病食道静脉曲张破裂出血住院患者随机分成2组，治疗组68例接受急诊内镜下套扎治疗，对照组62例给予常规内科治疗。观察各组继续出血率及静脉曲张红色征消失情况等，并进行比较。结果 治疗组继续出血率为10.3%，静脉曲张红色征阳性率为8.8%，均优于对照组，差异有统计学意义（P均＜0.01）。结论 内镜下套扎治疗是晚期血吸虫病食道静脉曲张破裂出血的一种有效止血方法。

关键词: 晚期血吸虫病；食道静脉曲张；套扎术