摘要
目的 :探讨经内镜水囊扩张治疗食管狭窄的应用价值。方法 :采用电子胃镜及CRE水囊导管扩张器治疗食管狭窄 5 8例。结果 :本组扩张前口径 0 .2～ 0 .5cm ,经扩张治疗后口径达 1.0～ 1.5cm。 5 1例食管良性狭窄者 ,在平均 3.4次 (扩张次数 1～ 6次 )扩张后 ,食管狭窄完全缓解 ,另 7例晚期食管癌经水囊扩张后放置内支架 ,所有病人均能恢复正常通道进食。其中 2 / 181例次出现颈部和胸部皮下气肿 ,经保守治疗好转。结果 :采用内镜水囊扩张治疗术 ,已成为治疗食管狭窄的一种安全有效的方法。该方法比传统的探条扩张治疗更安全有效 。
Objective: To discuss the efficacy of endoscopic water balloon dilation in treatment of esophageal stricture. Methods: A total of 58 cases with esophagus stricture were treated with electronic gastroscopy and CRE water balloon catheter dilator. Results: After endoscopy therapy the calibres of the stenotic orifice was dilated from 0.2～0.5cm to 1.0～1.5cm. 51 cases with benign stricture were recovered after dilated with an average of 3.4 times/cases (range 1 to 6). 7 cases with malignant esophageal stricture due to late stage cancer were treated by stent after dilation, all of them recovered take food. 2/181 cases developed cervix and chest emphysema, they were cured by couservation treatment. Conclusions: Endoscopic water balloon dilation is a safe, effective method, it is more safe and effective than traditional bougienage dilater, and can be used as a primary method.
出处
《中国内镜杂志》
CSCD
2000年第3期1-2,共2页
China Journal of Endoscopy
关键词
内镜
食管狭窄
水囊扩张
治疗
Endoscopy
Esophageal Stricture
Water Balloon Dilation
