摘要
目的观察萨氏扩张器在治疗食管癌术后吻合口狭窄的疗效。方法选择食管癌术后吻合口狭窄的病人48例,通过内镜钳道送入导丝越过狭窄的吻合口,沿导丝置入不同的直径的萨氏扩张器,对狭窄部位进行扩张。结果48例病人共进行62次扩张,其中34例1次扩张有效,12例2次扩张有效,1例扩张3次后行植入金属内支架,1例扩张1次后穿孔,治愈率为58.3%。结论萨氏扩张器治疗食管癌术后吻合口狭窄疗效较好。
Objective To observe the curative effect of Savary Gilliard dilator in treating the stenosis of anastomotic stoma after operation of esophageal cancer. Methods In 48 patients with stenosls of anastootic stoma, Savary Gilliard expanders with different diameters pass through the narrow anastomotic stoma by endoscope＇s pincers path, and expand the narrow positions of anastomotic stoma, Results 62 dilatations were performed in 48 patients. Among them, 1st dilatation was effective in 34 cases, the stenosis was improved after 2 times dilatation in 12 cases, the metal stem was embedded in anastomotic stoma after 3 expansions in 1 case, perforates occurred in 1 patient after expansion. The cure rate was 58,3%, Conclusions The carafive effect of Savary Gilliard dilator in treating the narrow of anastomotic stoma after operation of esophagus cancer affirmative.
出处
《实用全科医学》
2005年第5期413-414,共2页
Applied Journal Of General Practice
