食管-胃吻合口严重瘢痕性狭窄大球囊过度扩张治疗

The big balloon super dilation for gastroesophageal anastomosis with severe scar stenosis

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 2 7～ 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 2 6例 (72 .2 % )一次性扩张治愈 ,8例 (2 2 .2 % )扩张 2次 ,2例 (5 .6 % )扩张 3次。术后随访 6～ 4 0个月 ,吞咽困难缓解率 10 0 % ,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 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。

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.