食管胃吻合口狭窄原因分析及治疗措施  

Analysis of causes of anastomotic stricture after esophageal and cardial resection and its treatment

作　　者：伍传新[1] 陈树群[1] 林煜[2] 张文勇[1] 陈为才 

机构地区：[1]广东省普宁华侨医院胸外科,广东普宁515300 [2]广东省普宁华侨医院内窥镜室,广东普宁515300

出　　处：《吉林医学》2006年第1期45-46,共2页Jilin Medical Journal

摘　　要：目的:探讨食管、贲门癌术后吻合口狭窄的原因及治疗。方法:通过分析51例术后吻合口狭窄病人情况,包括症状、术后钡餐透视检查、胃纤镜检查、胸部CT检查等资料结合手术情况分析引起吻合口狭窄原因,对发生吻合病例予行包括使用沙氏管食管扩张术、支架植入及外科手术治疗等方法治疗。结果:51例病人的吻合口狭窄情况有不同程度的减轻。结论:食管贲门癌术后吻合口狭窄与多种因素有关。积极治疗可取得满意效果,改善生活质量。Objective To analyse the causes of anastomotic stricture after esophageal and cardial resection and its treatment. Method The information of 51 cases with postoperative stricture were analysed, which includes symptoms, barium meal examination gastrofiberscopy and the condiction of surgery,to explore the reason of postsurgery anastamotic stricture .and adapt measure combining dialation, intubation and surgery. Results the degree of esophageal stricture of 51 cases alleviated individually. Conclusion there are mutiple factors involving anastomotic stricture , the treatments combining various way are effective.

关 键 词：吻合口狭窄 食管支架 

分 类 号：R735[医药卫生—肿瘤]