内镜下切开术联合探条扩张治疗食管良性难治性狭窄的研究  

Endoscopic incision combined bouginage for refractory benign esophogeal stricture

作　　者：李书香[1] 王艳红[1] 李增魁[1] 张萌 赵春倩 

机构地区：[1]河北医科大学附属邢台人民医院内镜室,河北邢台054000 [2]河北省优抚医院消化内科,河北石家庄050000

出　　处：《临床荟萃》2017年第6期511-514,共4页Clinical Focus

摘　　要：目的探讨内镜下切开术联合探条扩张治疗食管良性难治性狭窄的疗效。方法选取反复探条扩张疗效不佳的17例吻合口狭窄患者,进行内镜下切开术联合探条扩张治疗,观察症状改善情况,吻合口直径变化,再狭窄间隔时间。结果所有患者均成功进行了内镜下切开联合探条扩张治疗,较单纯扩张治疗相比,患者吞咽困难症状明显改善,吻合口扩大(P<0.05),平均缓解时间延长(P<0.05)。结论内镜下切开术联合探条扩张治疗食管良性难治性狭窄是安全、有效的。Objective To explore the curative effect of endoscopic incision combined bouginage for refractory benign esophogeal stricture.Methods Seventeen patients of anastomotic stricture who failed repeated dilatation were treated with endoscopic incision combined bouginage.The symptoms improvement,anastomotic diameter,restenosis time interval were observed. Results All patients had successful treatment with endoscopic incision combined bouginage.Compared with the simple bouginage,the patients with dysphagia symptoms improved significantly, anastomosis diameter enlarged（P〈0.05）,mean relief time expanded （P 〈0.05）.Conclusion Endoscopic incision combined bouginage for refractory benign esophogeal stricture was safe and effective.

关 键 词：食管狭窄 食管内窥镜 

分 类 号：R571.1[医药卫生—消化系统]