内镜引导沙氏探条扩张治疗十二指肠溃疡瘢痕性狭窄  

Endoscope-guided Savary bougie dilatation for strictured duodenal ulcer

作　　者：朱惠明[1] 黄勋[1] 王立生[1] 李银鹏[1] 罗伟香[1] 师瑞月[1] 

机构地区：[1]暨南大学医学院附属深圳市人民医院消化内科,深圳518020

出　　处：《中华消化内镜杂志》2003年第3期155-157,共3页Chinese Journal of Digestive Endoscopy

摘　　要：目的 探讨内镜引导沙氏探条扩张治疗十二指肠溃疡瘢痕性狭窄的临床效果。方法经内镜引导沙氏探条扩张治疗十二指肠溃疡瘢痕性狭窄45例。观察扩张后狭窄部内镜通过情况、临床症状缓解情况等。结果 原狭窄部孔隙0.1～0.4cm,扩张后胃、十二指肠镜均能通过狭窄进入十二指肠降部,临床症状缓解,随访6、12、18、24、30、36个月症状缓解率为97.8％、97.8％、94.4％、93.7％。91.7％、87.5％。扩张后未进行正规溃疡治疗的患者症状复发率(4/18)明显高于坚持溃疡病治疗者(2/37)。结论 内镜引导沙氏探条扩张治疗十二指肠溃疡瘢痕性狭窄是一种安全有效的方法。Objective To study the efficiency of endoscope-guided Savary bougie dilatation ( ESBD ) for strictured duodenal ulcer. Methods Forty-five patients with strictured duodenal ulcer were treated with endoscope-guided Savary bougie dilatation. The items of investigation were; easiness of passing the endo-scope through the strictured portion of duodenum, resolving of their symptoms and the complications happened after dilatation. Results The symptoms remitted and endoscope was advanced to descending portion of the duodenum through the stricture in all of 45 patients. The follow up period ranged from 6 months to 36 months. The rates of symptomatic remission were 97. 8% (44/45 ) , 97. 8% (44/45 ) , 94. 4% (34/36) , 93.7%(30/32) , 91.7% (22/24) and 87.5% (14/16) , at 6,12,18,24,30 and 36 months respectively. Recurrence of symptoms in patients without therapy was significantly higher than those with therapy. Conclusion ESBD is a safe and efficient procedure in treating the strictured duodenal ulcer.

关 键 词：内镜引导 沙氏探条扩张 治疗 十二指肠溃疡 瘢痕性狭窄 

分 类 号：R573.1[医药卫生—消化系统]