儿童良性食管狭窄的介入治疗  

lnterventional treatment for benign esophageal stenosis in children

作　　者：范国平[1] 俞炬明[1] 钟伟兴[1] 彭海腾[1] 凃备武[1] 朱铭[1] 

机构地区：[1]上海交通大学医学院附属新华医院放射科,上海200092

出　　处：《实用放射学杂志》2012年第6期933-936,共4页Journal of Practical Radiology

摘　　要：目的评价儿童良性食管狭窄使用球囊扩张及暂时性覆膜可回收支架治疗的疗效。方法44例（男29例。女15例，平均年龄7岁）儿童良性食管狭窄接受食管球囊扩张治疗，对球囊扩张后临床症状及吞咽评分改善小满意的患儿置放暂时性覆膜可回收支架。结果 44例儿童良性食管狭窄疗效明显，食管穿孔等并发症罕见，术后6-30个月保持临床无症状，乔咽评分由2-3改善为0-1，治疗效果满意。结论本方法安全简单且实用，可作为儿童良性食管狭窄首选的治疗方法。Objective To evaluate the therapeutic effect of balloon catheter dilatation and retrievable self-expanding esophageal stent for benign esophageal stenosis in children. Methods 44 children of benign esophageal stenosis （29 boys and 15 girls, mean age of 7 years old）, underwent dilatation of balloon catbeter and placed in retrievable self-expanding esophageal stent for those improving clinical symptom and dysphagia scores ulteriorly. Results 44 cases were successful after dilatation of balloon catheter and retrievable self-expanding esophageal stem. There were no esophageal perforation and complications. The satisfactory results maintained from six months to thirty months, the clinical symptoms appeared to remarkably improve,the dysphagia scores were from 2-3 to 0-1, Conclusion Balloon catheter dilatation and retrievable self expanding esophageal stent are simple, safe and reliable methods for the treatment of benign esophageal stenosis in children as the first choice.

关 键 词：儿童 食管 良性食管狭窄 介入放射学 

分 类 号：R571.1[医药卫生—消化系统] R815[医药卫生—内科学]