球囊扩张术治疗食管贲门良性狭窄17例

Ballon dilation in treatment of cardial benign stenosis of esophagus:A report of 17 cases

目的 :评价球囊扩张术对食管贲门良性狭窄患者吞咽困难症状的缓解作用和安全性 ,观察近期疗效。方法 :对 1 7例患者经口放入球囊导管 ,将球囊置于狭窄部位 ,向球囊内注入 2 0 %泛影葡胺 ,使球囊直径扩张到 2 .5～ 3.5cm。结果 :球囊扩张后 1周有效率 94 .1 2 % (1 6 / 1 7) ,3个月后有效率 82 .35 % (1 4 / 1 7) ,食管穿孔 1例 (1 / 1 7)。结论

Objective:To evaluate the remittent function and safety of ballon dilation in treatment of patients with cardial benign stenosis of esophagus accompanied with dysphagia and to observe the near term effect.Methods:The ballon was put into the narrow part of the esophagus of 17 patients through their mouths using a saccular catheter.Twenty percent of meglumine adipiodone was injected into the ballon to expand the ballon to a diameter of 2.5-3.5 cm.Results:The effective rate was 94.12%(16/17) one week after the ballon dilation and 82.35%(14/17) three months later.Esophageal perforation occurred in one case(1/7).Conclusions:Ballon dilation is safe and effective for treatment of cardial benign stenosis of esophagus.