中文摘要：

目的：探讨外套管辅助内镜下硬化剂治疗食管静脉曲张破裂出血的有效性及安全性。方法：将本院2015年7月-2017年1月收治的食管静脉曲张破裂出血患者94例根据治疗方法的不同分为外套管辅助内镜下硬化剂治疗组（外套管＋EVS组）49例,内镜下套扎术组（EVL组）45例。观察并比较两组止血成功率,再出血率,曲张静脉消失率,曲张静脉基本消失率,3个月生存率,并发症发生率。结果：两组止血成功率、再出血率、曲张静脉消失和基本消失率、3个月生存率及并发症（胸痛、发热、食管狭窄、吞咽困难、吸入性肺炎）比较,差异均无统计学意义（P〉0.05）。结论：外套管辅助内镜下硬化剂治疗食管静脉曲张破裂出血安全、有效,建议此方法在临床使用及推广。

英文摘要：

Objective： To explore the efficacy and safety of outer tube adjunctive endoscopic sclerotherapy in the treatment of esophageal variceal hemorrhage.Method： From July 2015 to January 2017, 94 esophageal variceal hemorrhage patients treated in our hospital according to different treatment divided into the outer tube adjunctive endoscopic sclerotherapy group （ 49 cases ） and the endoscopic band ligation group （ 45 cases ） .The success rate of hemostasis, the rebleeding rate, varicose veins disappearance rate, varicose veins generally disappearance rate, 3 months survival rate and complication rate of two groups were observe and compared.Result： The success rate of hemostasis, the rebleeding rate, varicose veins disappearance rate, varicose veins generally disappearance rate, 3 months survival rate and complication rate （chest pain, fever, esophageal stricture, dysphagia, inhalation pneumonia ）of two groups were no significant differences （P〉O.05） .Conclusion： Outer tube adjunctive endoscopic sclerotherapy is safe and effective in the treatment of esophageal variceal hemorrhage.h is suggested that this method should be used and promoted in clinical practice.