摘要
目的探讨内镜下探条扩张术对食管狭窄的疗效。方法对62例食管狭窄患者做内镜下探条扩张术,其中食管、贲门癌狭窄15例,食管、贲门癌放疗术后狭窄25例,食管术后吻合口狭窄11例,腐蚀性食管性炎6例,其他食管良性狭窄5例。结果扩张成功率为100%,随访3个月,总有效率为88.7%,扩张后基本能消除梗阻,吞咽困难症状得到明显改善。术中发生食管穿孔2例,经带膜支架置入术治愈1例,外科手术治愈1例。结论内镜下探条扩张术是治疗食管狭窄的安全有效方法。
[Objective] To investigate the efficacy of endoscopic probe dilatation for patients with esophagostenosis. [Methods] 62 cases with esophagostenosis patients includes 15 esophageal-cardiac carcinomas, 25 radiotherapy esophageal-cardiac carcinomas, 11 esophageal anastomoses, 6 erosive esophagitises and 5 other esophageal strictures were treated by endoscopic silica gel probe. [Results] The excellent successful rate of endoscopic probe dilatation was 100%, esophageal obstruction and dysphagia symptoms were significantly alleviated in 62 patients after endoscopic probe dilatation. Following up those esophagostenosis patients, the total rate of remission of dysphagia symptoms was 88.7% after 3 months. 2 esophagostenosis patients had complication of esophageal perforation, and were cured with self-expanding metal stent or surgical therapy. [Conclusions] Endoscopic probe dilatation for esophagostenosis is an effective and safe method.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第1期22-23,26,共3页
China Journal of Endoscopy
关键词
食管狭窄
食管扩张术
胃镜
esophagostenoses
probe dilatation
gastroscope
