食管烧伤导致瘢痕狭窄的研究进展

Advances in the research of scar stricture after esophageal burn

食管烧伤亦称食管腐蚀伤，临床上并不少见，儿童和成人均有发生，主要为吞服强酸、强碱或其他腐蚀剂造成的食管损伤。食管烧伤后除食管穿孔外最主要的并发症之一是瘢痕狭窄，该类患者往往伴随不同程度的吞咽困难、脱水、营养不良等并发症，严重影响患者的生活质量，对此临床医师应当引起足够重视。本文主要就食管烧伤后瘢痕狭窄形式的病因、病理改变、临床鉴别以及防治措施等方面进行综述。

Caustic esophageal burn is a common ailment in clinical practice. In some patients, scar stricture was formed in the late stage of injury, and it seriously undermined quality of life of the patients. We adopted various clinical interventions at an early stage in order to relieve and alleviate the formation and development of corrosive esophageal stricture as a result of chemical injury as well as to avoid invasive operations to make it more acceptable for the patients. This article summarized the progress in etiology, pathological changes, identification, early prevention, and surgical management of corrosive esophageal stricture.