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活检术诊断食管-胃吻合口重度狭窄的技术探讨 被引量:3

Biopsy for severe anastomotic stenosis after esophagogastrostomy
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摘要 目的探讨介入放射学活检术诊断食管-胃吻合口重度狭窄的可行性和优越性。方法以介入放射学技术引入活检钳对15例食管胃吻合口狭窄区活检,判断狭窄的良恶性。结果食管胃吻合口区活检技术成功率100%,能取到满足要求的标本,5例吻合口活检病理为食管癌复发,10例瘢痕性狭窄。未出现消化道出血、穿孔等并发症。结论介入放射学活检诊断食管-胃吻合口重度狭窄是胃镜检查和活检失败者的可行替代技术,操作简单,阳性率高。 Objective To explore the feasibility and advantages in diagnosis of severe anastomotic stenosis with interventional biopsy. Methods To ascertain the characteristics of stenotic lesions, 15 patients with severe anastomotic stenosis were performed biopsy with forceps with the aid of esophagography under DSA. Results Interventional biopsy was technically successful in all patients with satisfactory specimen for histopathology. Five patients were diagnosed for recurrent carcinoma and the remaining ten for scarred stenosis. Conclusion Diagnosis of severe anastomotic stenosis with use of interventional biopsy is simple and safe procedure and with a high positive rate, and can act as an alternative approach for fibergastroscopic examination.
出处 《中国介入影像与治疗学》 CSCD 2007年第2期136-138,共3页 Chinese Journal of Interventional Imaging and Therapy
关键词 食管癌 吻合口 狭窄 活检 介入放射学 Esophageal carcinoma Anastomotic stenosis Biopsy Interventional radiology
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