内镜下探条扩张术与X线透视下水囊扩张术治疗食管良性狭窄的回顾性分析

Clinical analysis of benign esophageal stricture treated by probe dilation compared with balloon dilation

目的探讨内镜下探条扩张术与X线透视下水囊扩张术治疗食管良性狭窄病例疗效、扩张次数及并发症。方法 2005年3月～2009年3月该院收治的食管良性狭窄患者96例,其中56例行内镜下探条扩张术,40例行X线透视下水囊扩张术作为对照组。结果与水囊扩张术组相比,探条扩张术组的显效率明显提高,差异具有显著性(P<0.05)。与此同时,探条扩张术组仅进行一次扩张的比率明显提高,而多次扩张的比率和平均扩张次数均明显降低,差异亦均具有显著性(P<0.05)。两组患者均未出现穿孔、大片黏膜撕裂、大出血等严重并发症。结论与X线透视下水囊扩张术相比,内镜下探条扩张术治疗食管良性狭窄虽然总有效率和并发症发生率没有显著差异,但显效率却明显高于水囊扩张,且患者平均扩张次数也明显减少,是治疗食管良性狭窄的优先选择。

【Objective】 To investigate the therapeutic efficacy,expansion times and complications of benign esophageal stricture treated by probe dilation compared with balloon dilation.【Methods】 A total of 96 patients with benign esophageal stricture were enrolled from March 2005 to March 2009,randomly divided into two groups.The study group of 56 cases received endoscopic probe dilation,while the control group of 40 cases accepted balloon dilatation under X-ray.【Results】 Compared with control group,study group markedly improved the therapeutic efficiency,with significant differences（P 0.05）.Meanwhile,the study group significantly increased the once markedly improved rate of expansion,while markedly reduced the multiple expansion rate and the average number of expansion,there were also significant differences（P 0.05）.There were no perforation,tearing,bleeding and other serious complications in both two groups.【Conclusion】 Probe dilatation is easy to operate,with a significant short-term effect,and no serious complications,can be used as prior clinical treatment of benign esophageal stricture.