食管重建术后吻合口狭窄的扩张治疗  

Dilatation of stricture of anastomosis after reconstruc-tion of esophgus

作　　者：卫功铨[1] 邵令方[1] 高宗人[1] 许金良[1] 陈明跃[1] 王文光[1] 程金华[1] 

机构地区：[1]河南省肿瘤医院胸外科

出　　处：《中华外科杂志》1994年第12期753-754,共2页Chinese Journal of Surgery

摘　　要：作者自１９８３年５月至１９９３年５月期间应用食管扩张术治疗食管、贲门癌术后吻合口狭窄患者６５８例，共行扩张３２４０次，有效率达９６．５％。扩张５次以下明显好转占６１．６％，１０次以下叫显好转占８４．５％。术后发生并发症２７例，占４．１％。食管穿孔８例（１．２％），吻合口出血４例（０．６／），纵隔大１例（０．２％），局部损伤１４例（２．１％）。作者对食管扩张术的适应证，操作中注意事项及并发症进行了讨论。AbstractThis article reports the experince of the esophagusdilating technique in the treatment of 658 cases of postoperative anastomotic stricture for esophageal cancerand cardiac cancer during the period from May 1983 toMay 1993, being delated add up to 3240 times with to-tal effective rate 96.5%,among them 61.6%of thecases less than five,84.5%of the cases less than ten.Of them,27 cases(4.1%)had postoprative complica-tions,of which the main ones were esophagus perfora-tion 8 cases(1.2%), hemorrhage of anastomoticstoma 4cases( 0.6%),mediastinitis l case (0.2%)and loca trauma 14 cases(2.1%);The operative indi-cation, surgical technique and complication were dis-cussed

关 键 词：食管狭窄 扩张术 重建术 吻合口 并发症 

分 类 号：R655.4[医药卫生—外科学]