确炎疏松A食管内注射联合扩张治疗儿童食管瘢痕狭窄的效果分析  

Effective analysis of esophageal injection of triamcinolone acetonide combined dilatation for treating cicatricial esophageal stricture in children

作　　者：谢义民[1] 吴春[2] 吴建国[1] 廖兵[1] 王刚[2] 吴娜[1] 张铮[1] 

机构地区：[1]重庆三峡中心医院儿外科,重庆万州404000 [2]重庆医科大学附属儿童医院胸心外科,400014

出　　处：《重庆医学》2011年第14期1422-1423,共2页Chongqing medicine

摘　　要：目的探讨确炎疏松A食管内注射联合扩张治疗儿童食管瘢痕狭窄的效果。方法 30例儿童食管瘢痕狭窄采用确炎疏松A食管狭窄处注射联合扩张治疗,观察其症状变化和治疗次数,并与32例单纯扩张治疗进行对比。全组病例获1-5年随访。结果 30例患儿均成功行确炎疏松A食管狭窄处注射及探条扩张,显效16例（53.3%）,有效12例（40.0%）,无效2例（6.67%）,平均治疗（2.50±0.94）次,总有效率93.3%;单纯扩张治疗组显效13例（40.6%）,有效9例（28.1%）,无效10例（31.2%）,平均治疗（4.47±2.14）次,总有效率为68.8%。两组有效率比较差异有统计学意义（P〈0.05）。结论确炎疏松A食管内注射可提高儿童食管瘢痕狭窄的疗效。Objective To observe the effect of triamcinolone acetonide with esophageal injection combined dilatation for treating cicatricial esophageal stricture in children.Methods 30 children cases of cicatricial esophageal stricture were treated by triamcinolone acetonide with esophageal injection combined dilatation.The change of symptoms and frequency of treatment were observed and compared with other 32 children cases of cicatricial esophageal stricture treated by dilatation.All of children cases were followed up for 1-5 years.Results 30 children cases of cicatricial esophageal stricture were successfully treated by triamcinolone acetonide with esophageal injection combined dilatation,16 cases were significantly effective,12 cases were effectual and 2 cases were unfruitful with the total cure rate of 93.3%,the mean therapy times of 2.50±1.10.The effective rate of dilatation was 66.8%,the mean therapy times of 4.48±1.25.Conclusion Triamcinolone acetonide with esophageal injection can improve the efficacy of cicatricial espohageal stricture in children.

关 键 词：食管狭窄 瘢痕 确炎疏松A 注射治疗 儿童 

分 类 号：R726.5[医药卫生—儿科]