위장관 ( 胃腸管 ) : 식도 정맥류 출혈시 내과적 치료 효과 = The Effect of Various Medical Treatments for Esophageal Varices Bleeding식도 정맥류 출혈시 내과적 치료 효과

다국어 초록 (Multilingual Abstract)

We studied the variances affecting the survival rate and duration of rebleedling after treatment in three medical treatment methods (conventional medical treatment, endoscopic sclerotherapy, and percutaneous transhepatic obliteration), and also their effectiveness of bleeding control in 130 eso- phageal varices bleeding cases in liver cirrhosis. Among 130 cases of esophageal varices bleeding, 60 cases are treated with esophageal varices sclerotherapy, 54 cases are by conservative management, and 16 cases are by percutaneous esophageal varices obliteration method.
The results obtained are as follows; 1) The significant variances affecting the survival rate are Childs classification, number of rebleed ing and transfusion, serum ALT and protein level, and association with hepaoma or not(p<0.05). 2) The important variances which affecting the duration of rebleeding after first treatment are the esophageal variceal degree, and association with hepatoma (p < 0. 05), and also the method of sclerotherapy is more effective than others at Wilcoxon analysis, but disclosed no significant variances at Cox regression method. 3) Bleeding is the most common cause of death after variable medical treatment.