难治性食管良性狭窄患者行食管支架治疗效果分析

Effect of the treatment of esophageal stent in patients with refractory benign esophageal stricture

目的:探讨难治性食管良性狭窄患者行食管支架治疗效果。方法:选取进行治疗的难治性食管良性狭窄患者随机分析A组和B组,A组采用食管支架治疗,B组采用扩张方法治疗,比较两组患者的治疗效果和并发症的发生率。结果:A组,显效40例,有效4例,无效1例,总有效率97.8%;B组,显效31例,有效6例,无效8例,总有效率82.2%。A组,再狭窄患者1例,再狭窄率2.2%,无患者发生反流。经统计分析,两组患者的有效率和并发症发生率比较,差异具有统计学意义(P<0.05)。结论:食管支架治疗难治性食管良性狭窄效果显著,安全、简便、快捷、有效。

Objective To explore the ：effect of the treatment of esophageal stent in patients with refractory benign esophageal stricture. Method The patients with refractory benign esophageal stricture were randomly divided into two groups, group A and group B. The patients in group A were treated with esophageal stent, B with expansion. The treatment effect and complication rate of two groups was compared. Results There were 40 eases with marked effect ,4 with effect, 1 with no effect. The total effective rate was 97.8% in group A;There were 31 eases with marked effect,6 with effect,8 with no effect. The total effective rate was 82. 2% in group B. There was one ease with restenosis and restenosis rate was 2. 2%, no patients with reflux. There were significant differences in effective rate and the incidence of complications between two groups （ P 〈 0. 05 ）. Conclusion The treatment of esophageal stent in refractory benign esophageal stricture is safe, convenient, fast and effective.