球囊导尿管自助式扩张治疗食管与贲门癌术后吻合口顽固性狭窄

Treatments of the patients with pertinacity anastomotic-stenosis after esophageal and/or gastric cardiac cancer with balloon foley catheter

目的:探讨内镜下微波高温凝固联合Savary-Gilliard探条及球囊导尿管自助式扩张对食管/贲门癌术后吻合口顽固性狭窄的疗效。方法:对40例食管/贲门癌术后吻合口顽固性狭窄患者进行微波高温凝固联合探条及球囊导尿管自助式扩张,治疗后跟踪观察吻合口狭窄改善情况。结果:治疗1个月后有效率(CR+PR)为87.5%(35/40),3个月后为82.5%(33/40),两者比较差异无统计学意义,χ2=0.392,P=0.531;6个月后为70.0%(28/40),与治疗后1个月比较差异无统计学意义,χ2=3.660,P=0.056。结论:球囊导尿管自助式扩张是预防内镜下微波高温凝固联合探条扩张治疗食管/贲门癌术后吻合口狭窄后再狭窄的有效方法。

OBJECTIVE：To determine the efficacy of microwave tissue coagulation combined with ＂Savary-Gilliard＂ rod dilation via endoscope and self-help dilation with balloon foley catheter in the treatment of pertinacity anastomotic-stenosis after esophageal and/or gastric cardiac cancer operation. METHODS： Fourty patients with pertinacity anastomotic-stenosis after esophageal and/or gastric cardiac cancer operation were performed the expanding therapy by microwave tissue coagulation combined with ＂Savary-Gilliard＂ rod dilation and self-help dilation with balloon foley catheter. Then, the improvement of anastomotic-stenosis was observed following the treatment. RESULTS： The effective rates （CR＋PR） of dilation were 87. 5%（35/40） in one month after treatment, 82. 5%（33/40） in three month after the treatment （compared with the one month after the treatment, Χ^2= 0. 392, P = 0. 531, 70. 0 % （28/40） in six month after the treatment （compared with the one month after the treatment, Χ^2=3. 660, P=0. 056. CONCLUSION： The therapy of self-help dilation with balloon foley catheter is a good choice to prevent strait again after the treatment in microwave tissue coagulation combined with ＂Savary-Gilliard＂ rod dilation to anastomotic-stenosis after esophageal and/or gastric cardiac cancer operation.