超细经鼻胃镜在食管狭窄扩张以及食管内支架治疗中的应用效果  

Application effect of ultrafine nasal endoscopy in esophageal stricture dilatation and esophageal stent therapy

作　　者：林昱[1] 邱喜文 陈泽庭 李碧芬[1] 陈搏拉 

机构地区：[1]广东省普宁华侨医院消化内科,广东普宁515300

出　　处：《中国医药科学》2015年第19期204-206,共3页China Medicine And Pharmacy

摘　　要：目的对超细经鼻胃镜在食管狭窄扩张和支架治疗中的应用进行探讨。方法选择我院在2011年8月~2014年7月收治的40例食管狭窄患者,对患者进行超细胃镜检查,并与检查结果相结合进行狭窄段扩张术和支架植入术。结果 40例患者中共有20例患者狭窄内径≥6.0mm,均可直接通过狭窄段;另外20例患者内径在6.0mm和5.0mm之间,其中12例患者可以勉强通过,8例患者可以循导丝缓慢进境通过。支架置入均一次性成功,成功率为100%。支架置入后,最狭窄处内径由（4.8±0.9）mm,扩张至（11.8±2.1）mm。手术后,40例患者均有胸骨后疼痛、撕裂出血、病人咽喉部存在疼痛感和异物感,于术后3~7d得到缓解。结论食管狭窄患者经过超细胃镜检查效果良好,治疗更加方便。Objective To investigate the effect of ultrafine nasal endoscopy in esophageal stricture dilatation and esophageal stent therapy. Methods 40 cases of esophageal stenosis patients from 2011 August to 2014 July in our hospital were selected,and were given ultrafine nasal endoscopy.Stricture dilatation and stent implantation operation was given based on the ultrafine nasal endoscopy result. Results Stenosis diameter of 20 patients was ≥ 6.0mm and all these 20 cases could pass through the narrow section.Stenosis diameter of the other 20 patients was between 5.0mm and 6.0 mm,12 patients could squeeze through narrow section,and 8 patients could move slowly through narrow section with the guide wire.Stent implanting was successful,and the success rate was 100%.After stenting,the most narrow diameter expanded from（4.8±0.9）mm to（11.8±2.1）mm.After operation,40 patients had retrosternal pain,hemorrhage,and patients＇ throat had pain and foreign body sensation,but All these discomfort was relieved after three to seven days. Conclusion Effect of ultrafine nasal endoscopy in patients with esophageal stenosis is good,and it makes the treatment more convenient.

关 键 词：超细经鼻胃镜 食管狭窄扩张 支架治疗 应用 

分 类 号：R571.1[医药卫生—消化系统]