纤维内镜引导下的食管扩张术262例报告  

Effectiveness of esophageal dilatation guided by endoscopy of 262 patients with esophageal-cardiac stricture

作　　者：王荣华[1] 田志菊 赵辉[1] 

机构地区：[1]章丘市人民医院胸心外科,山东章丘250200

出　　处：《肿瘤防治杂志》2005年第14期1105-1106,共2页China Journal of Cancer Prevention and Treatment

摘　　要：为了探讨纤维内镜引导下的食管扩张术治疗食管和贲门处狭窄的临床疗效。我院于1991年1月1日～2004年12月30日应用纤维内镜引导下的食管扩张术治疗食管和贲门处狭窄262例。结果3例扩张失败。259例扩张治疗后,进食阻挡缓解250例,缓解率95.4%;其中完全缓解150例,占57.3%。进食缓解晋升Ⅰ级者51例,晋升Ⅱ级者92例,晋升Ⅲ级者70例。初步研究结果提示,食管癌术后单纯吻合口狭窄、膜状型,病史不超过3个月者,是食管扩张术的最佳适应证。The objective of this paper ws to study esophageal dilatation guided by endoscopy to treat esophageal-cardiac stricture. From Jan.1,1991 to Dec.30, 2004, 262 cases of esophageal-cardiac stricture had been treated with esophageal dilatation guided by endoscopy. Except for three cases, esophageal-cardiac stricture was relaxed after dilatation in 250 of 259 patients, the rate of relaxation was 95.4% with complete remittence of 150 cases (57.3%).The degree of dysphagia was classified according to Stooter’s classification. The results showed that Ⅰ grade of the symptoms of 51 cases were upgraded, Ⅱ grade 92 cases and Ⅲ grade 70 cases. In conclusion, the single postoperative anastomosis stricture, membrane type and the medical history of less 3 months is the best operative medication with esophageal dilatation.

关 键 词：扩张术 吻合口 食管狭窄 

分 类 号：R735[医药卫生—肿瘤]