食管扩张术治疗食管癌术后吻合口狭窄的临床效果及复发情况分析  

Clinical efficacy and relapse of esophageal dilatation treatment for esophageal cancer on postoperative anastomotic stenosis

作　　者：张志芳[1] 王开兰[1] 金建琴[1] 赵丽[1] 

机构地区：[1]湖北医药学院附属人民医院消化内科,湖北十堰442000

出　　处：《中国医学前沿杂志（电子版）》2015年第6期96-98,共3页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的探讨食管扩张术治疗食管癌术后吻合口狭窄的临床治疗效果和症状复发情况。方法选取2012年1月至2013年12月于本院接受治疗的食管癌术后吻合口狭窄的患者50例行食管扩张术,所有患者均随访6个月,观察治疗效果、并发症发生情况及症状复发情况。结果 50例患者接受治疗后症状均得到了不同程度的缓解,缓解率为100%,吞咽困难程度改善为0级或Ⅰ级,其中0级45例,Ⅰ级5例。随访至6个月时,无一例患者出现手术并发症,未发现症状复发情况。结论食管扩张术在食管癌术后吻合口狭窄的治疗中效果显著,安全可靠,值得临床推广应用。ObjectiveTo explore the clinical effect and recurrence of esophagus dilatation treatment for esophageal cancer patients with postoperative anastomotic stenosis.Method50 patients with esophageal cancer postoperative anastomotic stenosis in our hospital from January 2012 to December 2013 were given esophagus dilatation operation. All patients were follow-up for 6 months, the treatment effects, complications and recurrences were observed.Result50 cases of patients with symptoms after treatment were different degrees of ease, remission rate was 100%, the degree of dififculty swallowing improve at levels 0 orⅠ, level 0 was 45 cases, levelⅠwas 5 cases. 6 months follow-up, none of patients with complications, and found no recurrence of symptoms.ConclusionEsophageal dilatation in the treatment of esophageal cancer postoperative anastomotic stricture is effective, safe and reliable, worthy of clinical popularization and application.

关 键 词：食管扩张术 食管癌 术后吻合口狭窄 临床疗效 

分 类 号：R735.1[医药卫生—肿瘤]