肝硬化门静脉高压食管胃静脉曲张内镜下硬化治疗专家共识（2022，长沙）

中华消化内镜杂志2023年1月第40卷第1期Chin J Dig Endose,January2023.Val.40.No.1一1一·共识与指南·肝硬化门静脉高压食管胃静脉曲张内镜下硬化治疗专家共识(2022，长沙)中华医学会消化内镜学分会食管胃静脉曲张内镜诊断与治疗学组通信作者：令狐思强，解放军总医院第一医学中心消化内科，北京100853，Email:linghuenqiang(@vip.sina.com;刘德良，中南大学湘雅二医院消化内科，长沙410011，Email:deliangliu@csu.edu.cn【提要】肝硬化门静脉高压食管胃静脉曲张出血是临床常见危急重症，内镜下硬化治疗在食管胃静脉曲张的治疗中起着重要作用，然而目前国内外尚无其规范化治疗的相关共识。2022年，中华医学会消化内镜学分会食管胃静脉曲张内镜诊断与治疗学组组织全国相关领域权威专家讨论，提出了肝硬化门静脉高压食管胃静脉曲张内镜下硬化治疗专家共识，以期规范该技术在食管胃静脉曲张中的应用。本共识共分为食管胃静脉曲张分型、肝硬化食管胃静脉曲张诊断等12个部分，共17条陈述。【关键词】肝硬化；门静脉高压；食管胃静脉曲张：内镜下硬化治疗；共识Chinese expert consensus on endoscopic injection sclerotherapy for gastroesophageal varices withportal hypertension induced by liver cirrhosis(2022,Changsha)Endoscopie Diagnosis and Treatment of Esophagogastric Varices Group of Chinese Society of DigestireEndoscopology1915Corresponding author:Linghu Enqiang,Department of Gastroenterology,The First Medical Center of ChinesePLA General Hospital,Beijing 100853,China,Emaik linghuenqiang @vip.sina.com;Liu Deliang,Departmentof Gastroenterology,The Second Xiangya Hospital of Central South University,Changsha 410011,China,Email:deliangliu@esu.edu.enSummary Gastroesophageal variceal bleeding induced by liver cirrhosis and portalhypertension is a critical emergency in daily clinics.Endoscopic injection sclerotherapy plays an importantrole in the treatment of gastroesophageal varices.However,no specific consensus on endoscopic injectionsclerotherapy home and abroad has been published.In 2022,authoritative experts in relative field all overthe country under the leadership of Endoscopic Diagnosis and Treatment of Esophagogastric Varices Groupof Chinese Society of Digestive Endoscopology conducted a comprehensive discussion and proposed theconsensus,to serve as a tool for Chinese clinicians to standardize endoscopic injection sclerotherapytreatment for gastroesophageal varices.There are 12 parts in the consensus,with a total of 17recommendations,including grading of gastroesophageal varices,diagnosis of gastroesophageal varices,etcKey words Liver cirrhosis;Portal hypertension;Gastroesophageal varices:Endoscopicinjection sclerotherapy:Guideline门静脉高压症(portal hypertension,PH)是指各种原因基本病理生理特征为门静脉系统血流受阻和（或）血流量增所致的门静脉系统压力升高引起的一组临床综合征，最常加，门静脉及其属支内静力压升高并伴侧支循环形成，可引见的病因为各种原因所致的肝硬化@。门静脉高压症的起腹水、食管胃静脉曲张(g器stroesophageal varices,GOV)及D01:10.3760/cma.j.cn321463-20221016-00531收稿日期2022-10-16本文编辑朱悦唐涌进引用本文：中华医学会消化内镜学分会食管胃静脉曲张内镜诊断与治疗学组.肝硬化门静脉高压食管胃静脉曲张内镜下硬化治疗专家共识(2022，长沙)中华消化内镜杂志，2023,401：1-11.D0L:10.3760/cmaj.cm321463-20221016-00531.