摘要
目的探讨带刻度球囊导管治疗上消化道狭窄病变的应用价值。方法 56例上消化道狭窄病变,采用带刻度球囊导管测量狭窄长度,进行扩张、或置入支架。结果 56例患者,术后吻合口瘢痕性狭窄12例,行单纯球囊扩张;癌性狭窄44例(未行手术治疗23例、术后癌症复发15例、放疗后再狭窄6例),经带刻度球囊测量狭窄长度并预扩张,并先后置入支架52枚,狭窄症状均得以缓解。结论带刻度球囊导管既能实测狭窄病变长度,又可进行常规扩张,为选择更为合适的支架置入提供可靠的依据,避免了体外标尺测量病灶所致失实,同时对狭窄作预扩张,便于支架置入。
Objective To investigate the clinical value of balloon catheter with scale in the treatment of upper gastrointestinal stricture. Methods A total of 56 patients with upper gastrointestinal stricture were enrolled in this study. By using the balloon catheter with scale the length of the stricture was measured and dilated, and the implantation of stent was performed. Results Among the 56 patients, postoperative anastomotic stenosis due to scar was seen in 12, and simple balloon dilation was employed. In the remaining 44 cases the stenosis was caused by cancer. The lesions included inoperable tumor （n = 23）, postoperative malignant recurrence （n = 15） and restenosis after radiotherapy （n = 6）. For these 44 patients, the length of the stricture was measured by balloon catheter with scale and pre-dilation with subsequent stent implantation （52 stents in total） was carried out. Conclusion The balloon catheter with scale can not only be used to accurately measure the length of stricture but also to make routine dilation, which can provide reliable data for selecting the proper stent so that incorrect estimation of the length due to the use of external scale can be avoided. Moreover, the pre-dilation of the stricture is beneficial to the subsequent deployment of the metal expandable stent.
出处
《介入放射学杂志》
CSCD
北大核心
2013年第11期927-930,共4页
Journal of Interventional Radiology
关键词
上消化道狭窄
带刻度球囊
扩张
支架
upper gastrointestinal stricture
balloon catheter with scale
dilation
stent
