摘要
目的探讨上消化道良恶性狭窄的介入治疗方法。方法对１６例上消化道良恶性狭窄，采用了不同的介入治疗。对严重狭窄（＜０．２ｃｍ），在食管镜直视下插入导丝，减少和避免了盲目性和并发症。结果１６例共行球囊导管扩张４８回，置入５支食管自扩金属支架，狭窄处由０．１～０．３ｃｍ扩张至０．８～１．８ｃｍ。吞咽困难由３～４级改善为０～１级。结论上消化道狭窄应首选介入治疗。对于良性及吻合口狭窄，用球囊导管扩张，多可达到满意疗效。对于恶性狭窄，应用食管自扩金属支架治疗。在患者生活质量改善后，还应配合放、化疗。
Objectives Discussing the method of interventional treatment in upper-degestive tract stricture.Methods 16 cases withdenigne or malignant upper-degestive strictures were treatedby different interventional treatment methods,Inserting the guide wireunder direct vision forsevere stricture (<0.2cm) can reduce and aviod the dlind and complications of postoperation. Results 16 cases were performed percutaneous transluminal angioplasty (PTA) 48 times,5 self-expanding metallic stents were used for them.Diameter of stricture were expanded from 0.1～0.3cm to 0.8～1.8cm.Relieving dysphagia from 3～4 grade to 0～1 grade.Conclusions Interventional treatment is selected for upper-degestive tract stricture firstly.Balloon expanding is used for denigne anastomotic stenosis which can gain good treatment result Esophageal nitinoi stent is used for malignant stricture.When the patient′s condition is improved,chemical treatment is valuable,only that chat can increase the treatment result.
出处
《宁夏医学杂志》
CAS
1999年第5期267-269,共3页
Ningxia Medical Journal
