间歇逐级探条扩张法治疗腐蚀性食管炎狭窄2例的初步体会  

The Experience of Treating Esophageal Stricture Caused by Caustic Esophagitis by Probe Intermittent Gradual Dilatation-2 Cases Report

作　　者：李俊[1] 黄华[1] 杨太明 李建华[1] 张四代[1] 李世良[1] 

机构地区：[1]昆明医学院第二附属医院消化科胃镜室,昆明650101 [2]临沧地区人民医院内二科,临沧677000

出　　处：《昆明医学院学报》2003年第3期98-100,共3页Journal of Kunming Medical College

摘　　要：采用间歇逐级探条扩张治疗腐蚀性食管炎狭窄 2例 ,结果 :1例扩张治疗 5次后至 15mm ,再维持扩张 7次 ,饮食逐渐恢复正常 ,体重增加 2 0kg ,随访 1a无狭窄 ;1例扩张治疗 4次后至 11mm ,饮食恢复可进半固体食物 ,体重增加 12kg ,经 3月随访未再次狭窄 .体会 :探条扩张器适用于腐蚀性食管炎狭窄的扩张治疗 ;逐级间隙增加扩张直径 ,有利于预防并发症的发生和避免扩张后的再狭窄 .结论The experience of treating 2 patients complicated with esophageal stricture caused by caustic esophagitis by probe intermittent gradual dilatation was introduced. Results: Regarding the first patients, the diameter of esophagus increased to 15?mm after 5 times distending. In the following 7 times esophagus distending treatment, the patient could gradually eat normal food, and the weight increased 20?kg. No esophageal stricture has be founded for 1 year followed up . After 4 times distending, the second patient could eat semisolid food and the weight increased 12?kg, the diameter of esophagus increased to 11?mm. No esophageal stricture was founded after 3 months follow-up. Experience: Probe dilator is suitable for the treatment of esophageal stricture caused by caustic esophagitis; intermittently and gradually increasing the diameter of esophagus is very useful in preventing complications and avoiding re-stricture after distending treatment. Conclusion: Probe intermittent gradual dilatation is a useful method in treating esophageal stricture caused by caustic esophagitis.

关 键 词：腐蚀性食管炎狭窄 间歇逐级探条扩张法 治疗 X线检查 诊断 

分 类 号：R571.1[医药卫生—消化系统]