摘要
目的 探讨抑酸剂、粘膜保护剂等在扩张与支架治疗中的作用,减少不良反应的发生。方法 在内镜下扩张与安放支架治疗食管、贲门狭窄185例中,采用内镜复查、住院病人随访、门诊就诊随访、电话与信件随访方式,回顾性研究抑酸剂、粘膜保护剂等在扩张与支架治疗食管、贲门狭窄中的作用。结果 185例中,每次扩张平均进级2级以上,治疗前后分级与症状改善有非常显著的差异。治疗术后有恶心、胸骨后疼痛等不良反应,经抑酸剂、粘膜保护剂等处理消失。结论 内镜辅助扩张与安放支架是一种方便、疗效明显、快捷的介入治疗方法,也广泛应用于临床。其不良反应,可以通过加强术前、术中及术后药物及护理加以预防和治疗,进一步提高生存质量。
Objectives To discuss the effect of antisecretory drugs and mucosal protective agents in the treatmentwith dilation and stents. Methods 185 cases with esophagostenosis and cardiac stenosis were treated with dilationand stents under endoscope. The effect was reviewed by endoscope reexamination and by following-up to inpatientsand outpatients. Results There is a significant difference before and after the treatment. Such adverse reactions asvomiting and chest pain were relieved after applying antisecretory drugs and mucosal protective agents. Conclusions As a convenient intervenient treatment with significant curative effect. the operation of dilation and stents underendoscope has been widely applied in clinic. the adverse reaction of which could be prevented and treated by drugsand nursing so as to improve the life quality.
