内镜下扩张治疗食管吻合口狭窄36例临床疗效分析

目的探讨内镜下探条扩张治疗食管癌术后吻合口狭窄的临床疗效。方法对36例食管癌术后吻合口狭窄致吞咽困难的患者行内镜下Savary-Gilliard探条扩张器扩张术,并常规活检以排除局部癌症复发。根据临床症状缓解情况进行Stoole分级,评估其疗效。结果 36例患者治疗后吞咽困难症状较治疗前均有改善,34例完全缓解,1例基本缓解,1例无明显改善,经多次扩张后症状有所缓解。无1例发生出血、穿孔、感染等并发症。结论内镜下探条扩张治疗食管癌术后吻合口狭窄操作简单、创伤小、安全、有效。

Clinical efficacy of endoscopic expansion therapy on 36 patients with esophageal anastomotic stenosis

Objective To explore the clinical efficacy of endoscopic bougic expansion therapy on esophageal anastomotic stenosis.Methods Thirty-six patients with dysphagia caused by esophageal anastomotic stenosis received endoscopic expansion by Savary-Gilliard bougic therapy and conventional biopsy in order to eliminate local recurrence of cancer.The Stoole grading was carried out according to the relieving situation of clinical symptoms and the clinical efficacy was evaluated.Results The dysphagia symptoms of the 36 patients after treatment all improved,with 34 complete remission, 1 main remission and 1 little significant improvement.The clinical symptoms remitted after repeated expansion.There was no complication such as bleeding,perforation and infection.Conclusion Endoscopic expansion therapy on esophageal anastomotic stenosis after esophagectomy has easy operation,small trauma,high safety and satisfying effect.