可取出食管支架植入与球囊扩张术治疗难治性食管狭窄的临床效果比较

Comparison of Clinical Effects of Removable Esophageal Stent Implantation and Balloon Dilation in the Treatment of Refractory Esophageal Stenosis

目的:探讨对难治性食管狭窄患者行可取出食管支架植入以及球囊扩张术治疗的临床效果。方法:抽取到本院接受治疗的难治性食管狭窄患者,本次研究选择时间在2018年8月~2019年8月,共为92例,将其按照数字随机表的方法分为对照组和实验组,各组患者46例。对照组行球囊扩张术的治疗,实验组行可取出食管支架植入术的治疗,对比两组并发症的发生率以及治疗前后狭窄直径的变化情况。结果:实验组并发症的发生率10例(21.74%),对照组为12例(26.09%),实验组患者并发症的发生率与对照组基本相同,并无差异(P>0.05)。两组治疗前的狭窄直径并无明显差异(P>0.05),治疗后实验组的狭窄直径(13.89±3.76)mm,明显高于对照组(9.15±4.74)mm,P<0.05。结论:对难治性食管狭窄患者行可取出食管支架植入术的治疗,能够有效改善患者的狭窄直径,与球囊扩张术相比,安全性并无差异。

Objective:To explore the clinical effects of removable esophageal stent implantation and balloon dilatation in patients with refractory esophageal stenosis.Methods:Patients with intractable esophageal stenosis who were treated in our hospital were selected from August 2018 to August 2019.A total of 92 patients were selected.They were divided into a control group and a randomized table according to the method of digital random table.Experimental group,46 patients in each group.The control group was treated with balloon dilatation,and the experimental group was treated with removable esophageal stent implantation.The incidence of complications and the change in stenosis diameter before and after treatment were compared between the two groups.Results:The incidence of complications in the experimental group was 10 cases(21.74%)and that in the control group was 12 cases(26.09%).The incidence of complications in the experimental group was basically the same as that in the control group,and there was no difference(P>0.05).There was no significant difference in stenosis diameter between the two groups before treatment(P>0.05).After treatment,the stenosis diameter in the experimental group was(13.89±3.76)mm,which was significantly higher than that in the control group(9.15±4.74)mm,P<0.05.Conclusion:Removable esophageal stent implantation in patients with refractory esophageal stenosis can effectively improve the narrow diameter of patients,and there is no difference in safety compared with balloon dilatation.