食道球囊扩张术在食管狭窄中的应用价值

Analyzing Effect of Esophageal Balloon Dilation to Treat Paints with Esophageal Stricture

目的:探讨分析食道球囊扩张术在食管狭窄中的应用价值。方法:选取43例食管狭窄患者作为研究对象,分析患者食道扩张效果,治疗前后患者吞咽困难情况及随访患者预后情况。结果:患者经扩张治疗后根据临床疗效评价标准治愈13例(30.23%),好转29例(67.44%),无效1例(2.33%),总有效率为97.67%,患者治疗后吞咽情况较治疗前显著改善,治疗后97.67%的患者吞咽困难低于3级,至少能够进食半固体食物,43例食管恶性肿瘤患者术后食管狭窄经球囊扩张后,随访3年,其中20例(46.51%)患者死亡,15例(34.88%)患者出现继发性转移恶性肿瘤,5例(11.63%)患者由于消化道大出血导致死亡,其余23例(53.49%)患者存活时间超过3年。结论:食道球囊扩张术应用于食管恶性肿瘤术后食管狭窄患者疗效确切,改善患者吞咽困难的情况,提高患者的生命质量,延长生存时间。

Objective：Analyzing effect of esophageal bal-loon dilation to treat paints with esophageal stricture. Methods：To select 43 cases of esophageal stenosis.To analysis effects of patients with esophageal dilation, before and after treatment in patients with swallowing difficulties and prognosis in patients with follow-up. Results：After the patients were cured after treatment in accordance with the expansion of clinical evalua-tion criteria 13 cases （30.23%）, improved in 29 cases （67.44%）, 1 patient （2.33%）, the total effective rate was 97.67%, compared with the case of swallowing after the patients before treatment significantly improved after treatment in patients with dysphagia 97.67% lower than level 3, at least be able to eat semi-solid food after esophageal stenosis after balloon dilation of esopha-geal cancer after 43 patients were followed up for 3 years, of which 20 cases （46.51%） patients died, 15 cases （34.88%） pa-tients with secondary cancer metastasis in 5 cases （11.63%） pa-tients because of gastrointestinal bleeding leading to death, and the remaining 23 cases （53.49%） patients survived for more than 3 years. Conclusion：Esophageal balloon dilation of esoph-ageal stenosis effect applied to esophagus cancer surgery exact improve patient swallowing difficult circumstances, to improve the quality of life of patients and prolong survival time.