摘要
对48例食管及贲门癌术后并发吻合口狭窄患者,采用掺钕钇铝石榴石(简称Nd·YAG)激光沿吻合口缘作分点气化切割治疗,获得满意疗效。其中食管癌术后狭窄21例,贲门癌术后狭窄20例,高位胃体癌术后狭窄6例,残胃癌术后狭窄1例。48例中,作1次激光切割治疗者25例,2次者15例,3次者6例,4次者2例。经长期随访,胃镜复查,按疗效判定标准,获显效41例(85.4%),有效5例(10.4%),无效2例(4.2%)。在1~11/2年随访中,4例死于手术后复发,2例失访。作者强调,严格操作规程及熟练的内窥镜激光技术是避免出血、穿孔等并发症的关键。
Abstract Anastomotic stricture has
become a common complication followlng surgical treatment of uppergastrointestinal cancers.A
technique was devised to alleviate the stricture with Nd. YAG laser beamunder endoscopy. The
laser beam was applied at 3~4 different points near the anastomotic stoma.The thermal effect
of the beam would cut the scar tissues in and underneath the mucosa, leading todilatation of the
stoma. A total of 48 patients with cancer of the esophagus(n=21), gastric cardia(n=20), body of
stomach(n=6)and gastric stumpn=1) with postoperative anastomotic stricture wasso treated.
According to the degree of dilatation, the result of treatment upon longterm follow-upwas
good(the anastomotic stoma was enlarged more than 6 mm)in 41(85.4%),fair (the stoma
enlarged 4~5 mm)in 5(10.4%) and poor in the remaining 2. Due precautions should be made to
avoidbleeding and perforation.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
1994年第6期451-453,共3页
Chinese Journal of Oncology