食道贲门部狭窄扩探治疗56例次报告

ESOPHAGEAL-CARDIAC STRICTURE DILATATION FOR 56 TIMES

本文报告１９９１年１月以来在无ｘ线指引条件下进行食道贲门部狭窄的扩探治疗５６例次及其随访结果，主要病种为食道癌术后吻合口狭窄、食道良性狭窄及贲门失弛缓症。扩探治疗采用Ｒｉｇｉｆｌｅｘ水囊及Ｐｉｌｌｉｎｇ汞橡胶探条，吞咽困难程度按Ｓｔｏｏｌｅｒ标准分级，随访观察平均１．９年，以评价治疗的效果。结果显示症状改善Ⅰ级者２３．２％，改善Ⅱ级者２３．０％，痊愈者５０％，总有效率９６．２％。回访成功率８４．６％，２例因食道癌转移死亡，３例贲门失弛缓症状反复而重复扩张，余疗效稳定，无特殊并发症。

Fifty-Six times of oesophageal-cardiac stricture dilatation without x-ray guidance since 1991 and the follow-up results have been reported.The varieties of diseases were mainly postoperative strictures of oesophageal cancer,benign oesophageal strictures and achalasia.TTS Rigiflex dilator and Pilling tube were used for this purpose.The degree of disphagia were classified according to stooler's classification.The duration of follow-up studies was 1.9 year in average.The results showed that grade I improvement of the symptom was 23.2%,grade Ⅱ 22.0% and complete cure rate,50%. The total effective rate was 96.2%,84.6% of cases were followed-up successfully.Two cases died of metastasis of the cancer.Three achalasia cases need to be repeately dilated,otherwise symptomatically stable.There were no special complications for the operations.