食管胃底静脉曲张患者行内镜下静脉曲张套扎术及内镜下组织胶注射术后早期再出血的危险因素研究

目的：研究行内镜下静脉曲张套扎术及内镜下组织胶注射术治疗的食管胃底静脉曲张患者的术后早期出血的危险因素。方法：回顾性分析在我院治疗的103例食管胃底静脉曲张患者的临床资料，对患者的性别、年龄、发病原因、有无脾切除史、是否有肝脏病史、有无分流及断流等临床情况进行统计分析，同时结合治疗前后患者的临床表现、相关实验室检查指标、影像学指标及胃镜指标等对患者早期再出血发生的原因进行分析，寻找独立的危险因素。结果：103例患者在术后早期再出血发生率10．7％；对其危险因素进行分析可知，肝功能分级、凝血酶原时间、门静脉血栓、血红蛋白含量为术后早期再出血的独立危险因素。结论：在进行手术前，应充分的最好术前准备，尽最大能力使患者的各项危险因素（肝功能分级、凝血酶原时间、门静脉血栓、血红蛋白含量）维持在正常水平，以减少术后出血的发生。

Research on the Risk Factors of Rehaemorrhage after the Esophageal Varices under the Endoscopic Variceal Ligation and Endoscopic Tissue Glue Injection

Objective： To study the risk factors of rehaemorrhage for the patients who were taken the operation by esophageal varices endoscopic ligation and endoscopic tissue glue injection. Methods： A retrospective analysis was performed about the clinical data of 103 patients with esophageal varices who were treated in our hospital. The gender, age, etiology, the history of splenectomy or liver disease, the status of shunt and disconnection were analyzed and compared with the clinical manifestations before and a~er the treatment. The relevant laboratory parameters, imaging targets and indicators for endoscopy in patients with early rehaernorrhage were analyzed to find the independent risk factor. Results： The rate of early postoperative rebleeding was 10.7%, the liver function, prothrombin time, portal vein thrombosis, postoperative hemoglobin content were the independent risk factors. Conclusion： It is suggested that the preoperative preparation should be well done to maximize the ability to make the risk factors get to the normal levels in order to reduce the incidence of postoperative rehaemorrhage.