内镜直视下气囊扩张术治疗食管及贲门狭窄

目的：观察内镜直视下气囊扩张治疗食管及贲门狭窄的疗效。方法：采用内镜直视下气囊扩张术。结果：25例患者中,食管癌术后狭窄5例,晚期食管癌12例,晚期贲门癌3例,食管癌放疗后狭窄2例,食管癌术后复发3例,3例吞咽困难0级患者经扩张治疗后恢复至2级,22例吞咽困难1级者,12例恢复至2级,10例恢复至3级,有效率为100％,疗效持续25－50d,平均37．5d,无大出血或食管穿孔等严重并发症发生。结论：内镜直视下气囊扩张术是治疗食管狭窄安全有效的方法,值得在临床上推广应用。

TREATMENT OF ESOPHAGO- OR CARDIO-STENOSIS BY BALLON DILATION UNDER ENDOSCOPE--A REPORT OF 25 CASES

Objective:To investigate the effect of ballon dilation on esophageal or cardiac stenosis under endoscope.Medthods:The ballon dilation was used under endoscope.Results:Among 25 cases,5 with post operation stricture of esophageal carcinoma,12 with advanced esophageal carcinoma,3 with advanced cardiac carcinoma,2 with post radiation treatment stricture,3 with post operation recurrence of esophageal carcinoma.After ballon dilation,3 cases with dysphagia recovered from grade 0 to grade 2.Among 22 cases with dysphagia grade 1 ,12 cases recovered to grade 2 and 10 cases to grade 3 with effect rate of one hundred per cent.The effect lasted for 25 days to 50 days,averaging 37 5 days.No esophageal massive hemorrhage and perforation were observed.Conclusion.Ballon dilation under endoscope was effective and safe for treatmeat of many kinds of esophageal or cardiac stenosis.