食管化学烧伤后狭窄的治疗  

Therapy of Patients with Esophageal Stricture Caused by Chemical Burns

作　　者：于涛[1] 李建业[1] 蒋俭[1] 曾多[1] 张云峰[1] 

机构地区：[1]首都医科大学附属同仁医院胸外科,北京100730

出　　处：《医学临床研究》2013年第7期1318-1320,共3页Journal of Clinical Research

摘　　要：【目的】探讨食管化学烧伤后狭窄的治疗效果与经验。【方法】分析本院1982年2月至2010年2月治疗的食管化学烧伤后狭窄62例患者的临床资料。62例中，手术治疗55例，食管部分切除食管胃吻合术6例，结肠代食管术49例。单纯扩张治疗2例，单纯支架置入治疗3例，保守治疗2例。全组中胃或空肠造瘘25例，经食管镜或胃造瘘顺行或逆行扩张15例次。【结果】本组62例患者60例痊愈，2例保守治疗者均死亡。【结论】食管化学烧伤后狭窄可运用机械扩张缓解。食管腐蚀性狭窄持续扩张1年以上无效者，应积极手术治疗。在食管重建术中以结肠代食管术为好。[Objective] To explore the efficacy and experience of the treatment ot esophageal stricture cau- ses by chemical burns. [Methodsl Clinical data of 62 patients with esophageal stricture caused by chemical burns in our hospital from Feb. 1982 to Feb. 2010 were analyzed. Of 62 patients, 55 patients underwent the surgery including esophagogastrostomy in 6 patients and colon interposition in 49 patients, and 2 patients re- ceived simple dilation, and 3 patients were treated with simple stent implantation, and 2 patients received ex- pectant treatment. In all patients, 25 patients underwent gastrostomy or jejunostomy. Esophagoscopy or gas- trostomy and anterograde or retrograde dilation was performed in 15 cases. [Results] Among 62 patients, 60 patients recovered and 2 patients with expectant treatment died. [Conclusion] Esophageal stricture caused by chemical burns can be improved by mechanical dilation. For patients with caustic esophageal stricture {ailed to continuous dilation for over one year, surgical operative should be recommended. Colon interposition is the best choice for reconstruction of esophagus.

关 键 词：烧伤 化学 食管狭窄 治疗 

分 类 号：R571.1[医药卫生—消化系统]