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METHOD OF ENDOSCOPIC TREATMENT OF ESOPHAGEAL VARICES AND PREVENTION OF ESOPHAGEAL HEMORRHAGE

机译:食管静脉曲张的内镜治疗方法及预防食道出血

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, in particular to endoscopy. Ligation of esophageal varices is performed. 14-20 days after healing of ulcer defects after performed initial ligation endoscopic assessment of structure of venous vascular bed in low third of esophagus is carried out. In case of detecting perforant veins and presence of blood flow in remaining veins after ligation repeated targeted ligation of esophageal veins is planned and performed. Then, after 14-20 days endoscopic control is carried out, decrease of esophageal veins is assessed visually. After that, argon-plasma coagulation of mucous membrane of lower third of esophagus is performed. Localisation of veins during endoscopy is realised by clock dial, using aorta as constant reference point at 12 o'clock.;EFFECT: method makes it possible to eliminate development of hemorrhage at the moment of argon-plasma coagulation of esophageal veins, achieve elimination of esophageal veins, increase survival rate of patients.;2 ex
机译:技术领域本发明涉及医学,尤其涉及内窥镜检查。进行食管静脉曲张结扎术。初次结扎后溃疡缺损愈合后14-20天,进行内镜下食管下三分之一静脉血管床结构的评估。在结扎后检测到穿孔的静脉和剩余静脉中存在血流的情况下,计划并进行食管静脉的靶向性结扎。然后,在进行内窥镜控制14-20天后,目测评估食道静脉的减少。之后,进行食管下三分之一的粘膜的氩血浆凝结。内窥镜检查过程中的静脉定位是通过钟盘实现的,以12点主动脉作为恒定参考点。效果:该方法可以消除食管静脉氩等离子体凝结时的出血发展,实现对食管静脉的消融。食道静脉,提高患者生存率。2ex

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