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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

  

  1. 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
  • 出版日期:2017-06-05 发布日期:2017-06-01
  • 通讯作者: 通信作者: 李书香, Email: 47097859@qq.com

Endoscopic incision combined bouginage for refractory benign esophogeal stricture

  1. 1. Deaprtment of Endoscopy, the  People’s  Hospital of Xingtai, Hebei Medical University,
    Xingtai  054000, China; 2. Department of Gastroenterology,Hebei Consoling Hospital,
    Shijiazhuang 050000, China
  • Online:2017-06-05 Published:2017-06-01
  • Contact: Corresponding author: Li Shuxiang, Email: 47097859@qq.com

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。

关键词: 食管狭窄, 食管内窥镜

Abstract: 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.

Key words: esophogeal stenosis, esophagoscopes