内镜下扩张治疗复杂型上消化道狭窄34例报告

Report of 34 cases by dilative treatment of complex upper gastrointestinal stenosis by endoscope

目的探讨应用内镜下探条或(和)球囊扩张治疗复杂型上消化道狭窄的方法和疗效。方法对34例各种原因所致的复杂型上消化道狭窄患者,根据狭窄的具体情况在内镜下用探条或(和)球囊对狭窄部进行扩张,观察比较扩张前、后的疗效。结果34例病人共扩张86次,平均每例扩张2.5次,最少1次,最多6次。单用探条扩张26例、水囊扩张18例、ABD气囊扩张5例、探条联合球囊扩张37例。其中显效14例,占41.2%;有效18例,占52.9%;无效2例,占5.8%。结论内镜下扩张治疗复杂型上消化道狭窄,其方法安全,简便,费用低廉,患者恢复快,可反复进行,疗效满意。

[Objective] To investigate the methods and curative effect of bougienage and/or balloon dilative treating complex upper gastrointestinal stenosis by endoscope. [Methods] 34 eases with complex upper gastrointestinal stenosis were treated by bougienage and/or balloon dilation aeeording to the pathogenetie condition, and identified the effect of the treatment through observing the patients＇ reaction. [Results] All the times of the dilative treatment for 34 cases was 86, and the average time was 2.5. There were 26 cases treated by bougienage, 18 causes treated by water-balloon dilation, 5 causes treated by ABD air-balloon dilation, and 37 causes treated combination with bougienage and balloon dilation. The number of remarkably effective cases was 14 （41.2%）, effective cases was 18 （52.9%）, and 2 cases with no effect （5.8%）. [Conclusion] Dilative treatment of complex upper gastrointestinal stenosis by endoscope was a safe, simple, and cheap method with few complications. The effect of the treatment was sure and the patients recovered instantly.