“自助式”食管扩张法治疗食管胃吻合口狭窄27例分析  

Analysis of 27 cases of self-conducting esophageal dilation in the treatment of anastomotic stricture.

作　　者：彭洁[1] 王俊[1] 刘军[1] 刘彦国[1] 

机构地区：[1]北京大学人民医院胸外科,北京100044

出　　处：《中国综合临床》2005年第2期140-142,共3页Clinical Medicine of China

摘　　要：目的探讨“自助式”食管扩张法治疗食管癌术后吻合口狭窄的疗效及其应用前景。方法对27例食管癌术后吻合口狭窄的患者进行“自助式”食管扩张治疗。每天扩张1次,每次持续30min,1～3周为一个疗程。结果本组27例患者扩张前吞咽困难程度为IV级3例,Ⅲ级10例,Ⅱ级7例,Ⅰ级7例;经1个疗程扩张治疗后,吞咽困难程度改善为I级11例,0级16例,无一例发生食管穿孔等严重并发症。随访228个月,仅1例于扩张7个月后又出现Ⅱ级吞咽困难,经再次扩张后完全缓解。结论“自助式”食管扩张术治疗食管胃吻合口良性狭窄,其疗效可靠,患者痛苦小,安全性高,远期疗效较好,是一种值得推广应用的新式食管扩张方法。Objective To investigate the effect and prospectation of self-conducting esophageal dilation(SCED) in the treatment of postoperative anastomotic stricture in the patients with esophageal carcinoma.Methods 27 patients with esophageal carcinoma suffering from anastamotic stricture after esophagectomy were treated SCED.The dilation was performed once a day,and about 30 minutes for each time,usually 1-3 weeks′ dilation as a treatment course.Results 3 patients were initially the forth degree,10 cases were third degree,7 cases were the second and first degree respectively.However,after 1 treatment course of dilation,16 cases were zero degree and 11 cases were the first degree,and there was no severe complication like esophagus perforation.During the period of the 2-28 months after treatment,1 case developed the second degree dysphagia after 7 months which was completely relieved after redilation once again.Conclusion AS a domiciliary dilation technique,SCED is a simple,safe,and painless method in the treatment of the benign anastomotic stricture,with better long-term outcome.

关 键 词：食管胃吻合口狭窄 食管扩张术 吞咽困难 

分 类 号：R735.1[医药卫生—肿瘤]