球囊扩张术治疗食管狭窄的效果及预后危险因素分析

Efficacy of balloon dilatation in treating esophageal stenosis and analysis of risk factors influencing prognosis

目的观察球囊扩张术治疗食管狭窄效果及分析影响其预后的危险因素。方法 48例食管狭窄患者均分为观察组和对照组:对照组采用常规吞咽康复训练;观察组在吞咽康复训练基础上采用球囊扩张术治疗。2周后评估治疗效果,随访预后。结果两组治疗后吞咽障碍功能等级评分和饮水试验评分均优于治疗前,观察组更优于对照组(P<0.05)。观察组总有效率高于对照组(95.83%vs.66.67%)(P<0.05)。随访3~7周,观察组校正后预后不佳率低于对照组(18.82%vs.81.18%)(P<0.05)。治疗后食用坚硬或油腻食物和治疗后饮酒为影响食管狭窄患者预后的主要危险因素(P<0.05)。讨论球囊扩张术治疗食管狭窄临床效果好。治疗后食用坚硬或油腻食物和治疗后饮酒为影响食管狭窄患者预后的主要危险因素。

Objective To observe the efficacy of balloon dilatation in treating esophageal stenosis and analyze the risk factors influencing the prognosis.Methods Forty-eight patients with esophageal stenosis were equally divided into two groups of A and B.The patients in group A were treated with conventional swallowing rehabilitation training and those in group B were treated with additional balloon dilatation.The outcomes were evaluated two weeks after treatment and the prognosis was followed up for 3 to 7 weeks.Results The scores of swallowing disorder function and drinking test after treatment were obviously improved compared to before in two groups（P〈0.05）,which was better in group B than those in group A（P〈0.05）.The overall effectiveness rate in group B was higher than that in group A（95.83% vs.66.67%）（P〈0.05）.The follow up showed that the corrected poor prognosis rate in group B was lower than that in group A（18.82% vs.81.18%）（P〈0.05）.Eating hard or greasy food and drinking wine after treatment were the main risk factors influencing the prognosis（P〈0.05）.Conclusion On the basis of conventional swallowing rehabilitation training,balloon dilatation works well in treating esophageal stenosis.Eating hard or greasy food and drinking wine after treatment are the main risk factors influencing the prognosis.