球囊导管扩张术治疗食管贲门癌术后吻合口狭窄的探讨

To Discuss Balloon Ductal Dilatation Patients with Anastomotic Stenosis Postoperative Esophageal Cardiac Carcinoma

目的：探讨球囊导管扩张食管贲门癌术后吻合口狭窄的方法及疗效。方法：对2002～2008年经食管钡餐及临床证实吻合口狭窄的45例病人行球囊扩张术，术后定期随访，观察患者临床症状缓解与复发、内镜和X线钡餐检查结果。结果：45例患者吞咽困难症状都得到缓解，扩张成功率100％，术后未出现消化道大出血、穿孔等并发症。随访3个月，总有效率为88．9％（40／45）。结论：该方法简单，效果满意，安全可靠，是目前治疗吻合口溃疡的好方法。

Objective： To evaluate the methods and efficacy of balloon dilatation patients with anastomotic stenosis postoperative esophageal cardiac carcinoma. Methods： From 2002 to 2008, 45 patients of esophageal anastomotic stenosis who were confirmed by barium meal and the clinical, had been dilatated, followed up a survey by gastroduodenal endoscopy and esophageal barium radiography as well as their symptoms were investigated periodically. Results： The dysphagia symptoms were alleviated in all of 45 patients, the successful ratio of ball dilatation was 100% , and there was no complication of digestive tract massive hemorrhage and perforation after the dilatation. The rate of remission of dysphagia symptoms was 88.9% after three months. Conclusions： The method is simple, safe and reliable, the effect is satisfied.