无痛内镜下球囊扩张治疗食管贲门狭窄的疗效分析

Clinical effect analysis of painless endoscopic pneumatic balloon dilation in the treatment of the stricture of esophagus and cardia

目的探讨内镜下球囊导管扩张术对食管、贲门及吻合口良性狭窄的临床疗效及安全性。方法对35例食管、贲门、吻合口良性狭窄患者做无痛胃镜下球囊导管扩张治疗。结果扩张成功率为100％，首次均扩张至狭窄段直径≥12mm，术后吞咽不畅等症状得到迅速缓解。随访3个月，总有效率为88．6％。多数患者扩张后局部少许渗血，无大出血、穿孔的发生。结论无痛内镜下球囊导管扩张术是治疗食管、贵门、吻合口良性狭窄的安全有效方法。

Objective To exlpore the effect and safety of endoscopic pneumatic dilation in the treatment of the benign stricture of esophagus and cardia. Methods 35 patients with the benign stricture of esophagus, eardia and anastomosis were treated with painless endoscopic pneumatic balloon dilation. Results The rate of stricture improve- ment was 100% , and the entire anastomosis diameter was extended over 12 ram,at the first time, difficulty in swallo- wing was obviously relieved. Following up three months, the total effective percentage of stricture improvement was 88.6% ,aud n~ serious complication occurred in all cases. Conclusion Endoscopic pneumatic balloon dilation is effective and salt. to treat the benigu stricture of esophagus and cardia .