探条联合球囊扩张治疗食管胃吻合口狭窄的疗效  

Treatment of Esophagogastric Anastomotic Stenosis With Bougie and Balloon Dilatation

作　　者：袁开胜 徐伟[2] 汪忠红 邹绍静 YUAN Kaisheng;XU Wei;WANG Zhonghong;ZOU Shaojing(Department of Gastroenterology,Hongze District People's Hospital,Huai'an Jiangsu 223100,China;Department of Gastroenterology,Zhongda Hospital,Southeast University,Nanjing Jiangsu 210009,China)

机构地区：[1]江苏省淮安市洪泽区人民医院消化内科,江苏淮安223100 [2]东南大学附属中大医院消化内科,江苏南京210009

出　　处：《中国继续医学教育》2020年第36期127-131,共5页China Continuing Medical Education

基　　金：江苏省卫生计生委2018年度医学科研课题项目(Z2018030)。

摘　　要：目的探讨内镜下探条联合球囊扩张治疗食管胃吻合口狭窄的临床疗效。方法选择本院2017年1月—2019年5月诊治的100例食管或贲门癌术后吻合口狭窄患者作为研究对象,随机分为探条与球囊联合扩张的治疗组(观察组)、单纯探条扩张治疗组(对照组)各50例,对比两组治疗效果、扩张次数及并发症发生情况等。结果观察组治疗显效率为82%,总有效率为98%,一次扩张率为74%,依次高于对照组的28%、76%和40%(P<0.05);观察组与对照组相比扩张次数少、复发率低于(P<0.05)。结论对食管胃吻合口狭窄采用探条联合球囊扩张术在扩张次数、复发率、显效率等方面均优于单纯探条扩张治疗术。Objective To explore the clinical effect of endoscopic probe combined with balloon dilatation in the treatment of esophagogastric anastomotic stenosis.Methods From January 2017 to May 2019,100 patients with postoperative anastomotic stenosis of esophageal or cardiac cancer in our hospital were randomly divided into two groups:the observation group and the control group,50 cases in each group.Results The effective rate of the observation group was 82%,the total effective rate was 98%,the one-time expansion rate was 74%,which was higher than that of the control group(28%,76%and 40%)(P<0.05),Compared with the control group,the expansion times and recurrence rate of the observation group were less(P<0.05).Conclusion It is better to treat esophagogastric anastomotic stenosis with the combination of probe and balloon dilation in terms of dilation frequency,recurrence rate and effective rate.

关 键 词：内镜 探条治疗 球囊扩张治疗 食管胃吻合口狭窄 联合治疗 疗效分析 

分 类 号：R573[医药卫生—消化系统]