气囊扩张法治疗食管及贲门狭窄疗效分析

Efficacy of balloon dilatation in treating esophageal or cardiac stenosis

目的 用Microvasive气囊扩张食管癌术后或放射治疗后引起的食管狭窄 ,贲门失弛缓症引起的贲门狭窄。方法 全部操作均在胃镜直视下进行 ,食管、贲门扩张气囊分别经胃镜活检孔和经口送入 ,将气囊置于需要扩张的狭窄处分别注水、注气加压 ,使狭窄处得以扩张。结果 10例食管狭窄及 6例贲门失弛缓症者近期总疗效达 94% ,扩张后均能顺利进食 ,远期疗效尚在继续追踪中。结论 Microvasive气囊扩张治疗食管及贲门狭窄 ,效果可靠 ,操作简便 ,患者顺应性好。

Objective To evaluate the efficacy of balloon dilatation in treating patients with esophagostenosis after operation or radiotheraphy for carcinoma of esophagus or patients with stenosis of cardia caused by achalasia. Methods\ Under endoscope, one Microvasive baloon was placed into the endoscope accessory channel, the other was placed in the mouth. When the balloon was placed water or gas was injected to dilate the stenosis. Results\ Among 10 esophagostenosis and 6 cardiac patients, stenosis patients 94% could eat after operation.Conclusion\ Microvasive balloon dilatation is an effective, simple and well-tolerated therapy for esophageal and cardiac stenosis