食管癌术后吻合口狭窄内镜下治疗的进展  

The progress of endoscopic treatment of anastomotic stenosis after esophageal cancer surgery

作　　者：张艳伟 曹绪坤 韩双印 张海辉 ZHANG Yanwei;CAO Xukun;HAN Shuangyin;ZHANG Haihui(Department of Gastroenterology People's Hospital of Zhengzhou University/Henan Provincial People's Hospital,Zhengzhou 450003 China)

机构地区：[1]郑州大学人民医院/河南省人民医院消化内科,郑州450003

出　　处：《河南大学学报（医学版）》2021年第4期301-304,共4页Journal of Henan University:Medical Science

摘　　要：食管癌术后吻合口狭窄是食管癌根治术后最常见的并发症之一,现多采用内镜治疗。内镜下微波凝固术操作简便,能迅速扩大狭窄,缓解梗阻症状。扩张术易操作、见效快,但再狭窄率较高。内镜下支架置入术远期疗效不佳,移位和组织增生风险较高,应权衡利弊,审慎施行。内镜下切开术是一种有前景的新型治疗方式。可根据患者病情采取单独或联合治疗,在发挥各治疗方案优势的同时,减少并发症的发生率,减轻患者痛苦。Postoperative anastomotic stenosis is one of the most common complications after radical resection of esophageal cancer.Microwave coagulation under endoscope is easy to operate,can rapidly expand the stenosis,alleviate the obstruction symptoms,but it is prone to perforation,restenosis and so on.Dilatation is easy to operate and quick to take effect,but the rate of restenosis is high.The long-term effect of endoscopic stent placement is not good,and there is a higher risk of displacement and tissue proliferation.It should be implemented after weighing the pros and cons.Endoscopic resection,as a new treatment method,is a promising treatment scheme.According to the patient’s condition,single or combined treatment can be adopted,while exerting the advantages of each treatment plan,reducing the incidence of complications and reducing the suffering of patients.

关 键 词：吻合口狭窄 扩张 支架 内镜下切开术 治疗 

分 类 号：R735.1[医药卫生—肿瘤]