| 食管-胃吻合口严重瘢痕性狭窄大球囊过度扩张治疗 |
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| 引用本文： | 韩新巍,吴刚,高雪梅,马南,王艳丽,刘保山,石谨.食管-胃吻合口严重瘢痕性狭窄大球囊过度扩张治疗[J].介入放射学杂志,2005,14(2):160-162. |
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| 作者姓名： | 韩新巍 吴刚 高雪梅 马南 王艳丽 刘保山 石谨 |
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| 作者单位： | 450052 郑州大学第一附属医院放射科;450052 郑州大学第一附属医院放射科;450052 郑州大学第一附属医院放射科;450052 郑州大学第一附属医院放射科;450052 郑州大学第一附属医院放射科;450052 郑州大学第一附属医院放射科;450052 郑州大学第一附属医院放射科 |
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| 摘 要： | 目的探讨大球囊扩张成形治疗食管-胃吻合口严重瘢痕性狭窄的疗效和价值。方法透视下应用直径27～30mm的大球囊导管对36例食管-胃吻合口瘢痕性狭窄患者进行扩张治疗。结果26例(72．2％)一次性扩张治愈，8例(22．2％)扩张2次，2例(5．6％)扩张3次。术后随访6～40个月，吞咽困难缓解率100％，均无严重并发症和复发。结论利用大球囊扩张成形治疗食管一胃吻合口瘢痕性狭窄安全、有效，可取代内支架置入达到根治目的，值得大力推广。
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| 关 键 词： | 食管-胃吻合口 狭窄 球囊扩张成形术 介入放射学 |
| 修稿时间： | 2004年10月22 |
The big balloon super dilation for gastroesophageal anastomosis with severe scar stenosis |
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| HAN Xin-wei,WU Gang,GAO Xue-mei,MA Nan,WANG Yan-li,LIU Bao-shan,SHI Jin.The big balloon super dilation for gastroesophageal anastomosis with severe scar stenosis[J].Journal of Interventional Radiology,2005,14(2):160-162. |
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| Authors: | HAN Xin-wei WU Gang GAO Xue-mei MA Nan WANG Yan-li LIU Bao-shan SHI Jin |
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| Institution: | HAN Xin-wei,WU Gang,GAO Xue-mei,MA Nan,WANG Yan-li,LIU Bao-shan,SHI Jin. Radiology Department,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052,China |
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| Abstract: | Objective To explore the value and curative effect of the big balloon super dilation for gastroesophageal anastomosis with severe scar stenosis.Methods Under fluoroscopic guidance, 36 patients with gastroesophageal anastomosis of severe scar stenosis were treated by the big balloon dilation. Results The once successful balloon dilation was achieved in 26 patients(72.2%), the twice in 8(22.2%)and the thrice in 2( 5.6%).There was no severe complications. Follow-up time was taken for 6 to 40 months and remission rate of dysphagia reached 100%, without any recurrent stenosis.Conclusion The method is safe, effective and should be recommended extensively. |
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| Keywords: | Gastroesophageal anastomosis Stenosis Balloon dilation plasty Interventional radiology |
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