摘要
目的 探讨食管良性狭窄外科治疗的效果与经验。方法 1982年 2月至 2 0 0 1年 2月 ,治疗食管良性狭窄 4 5例。手术治疗 4 2例中局限性狭窄段食管纵切横缝 1例 ,食管部分切除食管胃吻合术5例 ,结肠代食管术 36例。单纯扩张治疗 1例 ,保守治疗 2例。全组中胃或空肠造瘘 2 1例 ,经食管镜或胃造瘘顺行或逆行扩张 11例次。结果 4 3例痊愈 ,2例保守治疗者均死亡。结论 食管良性狭窄可运用机械扩张缓解。食管腐蚀性狭窄持续扩张 1年以上者 ,应积极手术治疗。在食管重建术中以结肠代食管术为好。
Objective: To evaluate the effective surgical method and experience for benign esophageal stricture. Methods: 45 patients with benign esophageal stricture were surgically treated from Feb.1982 to Feb. 2001. 1 case with short esophageal stricture was treated with longitudinal incision and transverse suture. 5 cases were treated by esophagectomy and intrathoracic esophagogastrostomy. 36 cases were treated by colon interposition. Results: 43 cases recovered and 2 died. Conclusion: Benign esophageal stricture can be improved with dilating. For patients with corrosive stricture of esophagus dilating more than one year, surgical operation should be recommended. The colon is the best choice for reconstruction of esophagus.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2002年第5期292-294,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
