胃镜下扩张治疗上消化道狭窄64例  

Dilative treatment of upper gastrointestinal stenosis by endoscope

作　　者：罗朝辉[1] 徐德[1] 谭礼让 李虎[1] 

机构地区：[1]巴中市中心医院消化内科,四川巴中636000

出　　处：《西部医学》2011年第12期2343-2344,共2页Medical Journal of West China

摘　　要：目的探讨胃镜下应用探条或(和)球囊扩张治疗上消化道狭窄的安全性和疗效。方法对64例各种原因所致上消化道狭窄患者,根据狭窄的具体情况在胃镜下用探条或(和)球囊对狭窄部进行扩张,观察比较扩张前、后的疗效。结果 64例病人共扩张128次,平均每例扩张2次,最少1次,最多6次。单用探条扩张37例,水囊扩张18例,探条、联合球囊扩张9例。其中显效38例,占59.4%,有效24例,占37.5%;无效2例,占3.1%。结论胃镜下扩张治疗上消化道狭窄,其方法安全,并发症少,疗效显著,患者恢复快,操作简单方便,可反复进行,费用低廉。Objective To investigate the methods and curative effect of bougienage and/or balloon dilative treating complex upper gastrointestinal stenosis by endoscope.Methods 64 cases with coplex upper gastrointestinal stenosis were treated by bougienage and/or balloon dilation according to the pathogenetic condition.And identified the effect of the treatment through observing the patients＇ reaction.Results All the times of the dilative treatment for 64 cases was 128,and the average time was 2.There were 37 cases treated by bougienage,18 causes treated by water-balloon dilation,and 9 causes treated combination with bougienage and balloon dilation.The number of remarkably effective cases was 38（59.4%）,effective cases was 24（37.5%）,and 2 cases with no effect（3.1%）.Conclusion Dilative treatment of complex upper gastrointestinal stenosis by endoscope was a safe,simple,and cheap method with few complications,The effect of the treatment was sure and the patients recovered instantly.

关 键 词：上消化道狭窄 胃镜 扩张治疗 

分 类 号：R571.1[医药卫生—消化系统]