脉冲式球囊扩张治疗285例吻合口狭窄的临床分析

The Clinical Analyses of the Treatment of 285 Cases with Anastomotic Stenosis by the Pulse Balloon Expansion

目的探讨脉冲式球囊扩张治疗上消化道肿瘤术后吻合口狭窄的临床疗效。方法应用自制油压脉冲式扩张器,哑铃型球囊,血管介入导丝,在X光机及配套DSA系统下对285例吻合口狭窄患者进行扩张术。结果285例共进行了710次球囊扩张,显效227例(79.6%),有效45例(15.8%),无效13例(4.6%),总有效率为94.7%。结论脉冲式球囊扩张对上消化道肿瘤术后吻合口良性狭窄的治疗效果满意,安全可靠,痛苦小,并发症少,是患者易接受的新的治疗方法。

Objective In order to discuss the clinical efficacy of the pulse balloon expansion in the treatment of anastomotic stenosis after upper gastrointestinal tumor surgeries. Methods Application of self-made hydraulic pulse expansion, dumbbell-type balloon, interventional vascular guide wire, the X-ray machine and a DSA system,285 cases with anastomotic stenosis were treated by means of the expansion treatment. Results The 285 cases conducted a total of 710 balloon expansion treatment, markedly effective 227 cases, accounting for 79.6 percent. Effective 45 cases, accounting for 15.8 percent. Invalid in 13 cases, accounting for 4.6 percent. The total efficiency was 94.7 percent. Conclusion As a new treatment methord for anastomotic stenosis after gastrointestinal tumor surgeris puls ballon expansion has a satisfied therapeutic effect,and the patient are easy to accept the methord on account of the advantages such as safety,reliability,mildly pain and fewer complications.