[1]李华东,刘德鑫,李 平,等. 食管吻合口狭窄气囊导管扩张术与放置内支架疗效对比[J].介入放射学杂志,2012,(04):318-321.
 ,,et al.The management of anastomotic stricture occurred after esophagectomy: a comparison between balloon dilation alone and balloon dilation together with stent placement [J].journal interventional radiology,2012,(04):318-321.
点击复制

 食管吻合口狭窄气囊导管扩张术与放置内支架疗效对比 ()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年04期
页码:
318-321
栏目:
临床研究
出版日期:
2012-04-28

文章信息/Info

Title:
The management of anastomotic stricture occurred after esophagectomy: a comparison between balloon dilation alone and balloon dilation together with stent placement  
作者:
 李华东 刘德鑫 李 平 郭启祥 李鸿江 王小东
Author(s):
  LI Huadong LIU Dexin LI Ping GUO Qixiang LI Hongjiang WANG Xiaodong.  
 Department of Radiology, the Second Affiliated Hospital, Fujian Medical University, Quanzhou 362000, China
关键词:
 【关键词】 食管胃吻合口狭窄 气囊扩张术 内支架置入术 放射学介入性 随访研究
文献标志码:
A
摘要:
 【摘要】 目的 对比评价食管贲门癌术后吻合口狭窄单纯气囊导管扩张术与辅以食管支架置入术的治疗效果。方法 两种病例共103例吻合口狭窄均作了气囊导管扩张术,其中79例作单纯气囊导管扩张术,24例作气囊导管扩张术辅以支架置入术(5例为裸支架,19例为覆膜支架)。 结果 全部103例作单纯气囊导管扩张术后经4 ~ 38个月随访观察,有效者79例,占76.7%;另24例扩张无效者辅以放置食管支架,经4 ~ 38个月随访,有效者17例,有效率70.8%;与单纯作气囊导管扩张术比较差异无统计学意义(χ2 = 0.36,P > 0.05 )。 结论 食管贲门癌术后吻合口狭窄,应以气囊导管扩张术作为首选的治疗方法,气囊导管扩张无效者再考虑辅以放置食管支架作为治疗的补救措施。

参考文献/References:

[1]   张   敏, 李明忠. 内镜下治疗良恶性食管狭窄49例[J]. 蚌埠医学院学报, 2010, 35: 503  504.
[2]   周子奎, 陈宝菊, 林长平, 等. 食管支架植入术后并发症及相关因素探讨[J]. 介入放射学杂志, 2006, 15: 114  115.
[3]   王运东, 韩   真. 食管带膜支架置入术后再狭窄的机制和治疗[J]. 世界华人消化杂志, 2006, 14: 1193  1196.
[4]   王忠敏, 陈克敏, 郭圣荣, 等. 内支架治疗消化道狭窄的临床应用与展望[J]. 临床放射学杂志, 2008, 27: 256  259.
[5]   郝立群, 靳同孝, 李兰金. 球囊扩张及内支架置入对食管癌术后吻合口狭窄的治疗分析[J]. 当代医学, 2009, 15: 293  294.
[6]   程英升, 杨仁杰. 胃肠道狭窄或梗阻介入治疗规范化探讨[J].介入放射学杂志, 2003, 12: 313  316.
[7]   Cheng YS, Li MH, Chen WX, et al. Temporary partiallycovered metal stent insertion in benign esophageal stricture[J]. World J Gastroenterol, 2003, 9: 2 359  2 361.
[8]   程英升, 杨仁杰, 尚克中, 等. 暂时性内支架治疗食管良性狭窄疗效分析[J]. 介入放射学杂志, 1999, 8: 34  36.
[9]   朱海东, 郭金和, 滕皋军. 食管支架成形术治疗食管狭窄现状及研究进展[J]. 介入放射学杂志, 2011, 20: 494  498.
[10] Kim JH, Song HY, Choi EK, et al. Temporary metallic stent placement in the treatment of refractory benign esophageal strictures: results and factors associated with outcome in 55 patients[J]. Eur Radiol, 2009, 19: 384  390.

相似文献/References:

[1]张 琳,黄学全,王健,等.自主研发电化学治疗同轴电极与传统针式电极电解效应的对比研究[J].介入放射学杂志,2012,(02):148.
 ZHANG Lin,HUANG Xue-quan,WANG Jian,et al.The electrolytic effect in electrochemotherapy: a comparative study between self-prepared coaxial electrode and conventional needle electrode[J].journal interventional radiology,2012,(04):148.
[2]赵 玮,王伟中,陈莹,等.耳部动静脉畸形供血动脉的血管造影研究[J].介入放射学杂志,2012,(02):103.
 ZHAO Wei,WANG Wei-zhong,CHEN Ying,et al.Angiographic findings of the feeding arteries of auricular arteriovenous malformations[J].journal interventional radiology,2012,(04):103.
[3]邹俊民,龙世娟,张振明. 改良髂内动脉化疗联合放疗治疗Ⅲ~Ⅳa期 子宫颈癌32例[J].介入放射学杂志,2012,(02):123.
 ZOU Jun-min,LONG Shi-Juan,ZHANG Zheng-ming..Improved internal iliac artery chemotherapy combined with radiotherapy for the treatment of stage Ⅲ-Ⅳa cervical cancers[J].journal interventional radiology,2012,(04):123.
[4]王昌明,李 选,宋世兵,等.肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用[J].介入放射学杂志,2012,(02):136.
 WANG Chang-ming,LI Xuan,SONG Shi-bing,et al.The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation[J].journal interventional radiology,2012,(04):136.
[5]赵玉峰,孙玉琴,韩晓静,等. 输卵管介入再通术后受孕时机的研究[J].介入放射学杂志,2012,(02):158.
 ZHAO Yu-feng,SUN Yu-qin,HAN Xiao-jing,et al.The optimal time for conception after fallopian tube recanalization therapy[J].journal interventional radiology,2012,(04):158.
[6]含 笑,曹建民,史东宏,等.吉西他滨、顺铂动静脉联合化疗治疗晚期非小细胞肺癌的近期疗效分析[J].介入放射学杂志,2012,(02):119.
 HAN Xiao,CAO Jian-min,SHI Dong-hong,et al.Bronchial artery infusion of Gemcitabine and Cisplatin combined with systemic chemotherapy for advanced non-small cell lung cancer: its short-term efficacy[J].journal interventional radiology,2012,(04):119.
[7]姚雪松,李 槐.不可手术切除的肝细胞癌的疗效评价标准——改良RECIST标准更可靠[J].介入放射学杂志,2012,(03):177.
 . Therapeutic evaluation criterion of inoperable hepatocellular carcinomas: modified RECIST as a more reliable standard[J].journal interventional radiology,2012,(04):177.
[8]齐 立,李慎茂,俸军林,等. 动脉溶栓与机械碎栓联合动脉溶栓的对比分析[J].介入放射学杂志,2012,(03):180.
 ,,et al. Comparison of the therapeutic efficacy between simple arterial thrombolysis and mechanical thrombectomy combined with arterial thrombolysis for acute cerebral infarction at its ultraearly stage[J].journal interventional radiology,2012,(04):180.
[9]石 潆,赵 卫,沈 进,等.脑动静脉畸形栓塞治疗术并发颅内出血的原因及处理[J].介入放射学杂志,2012,(03):185.
 ,,et al.Intracranial hemorrhage due to embolization therapy for cerebral arteriovenous malformation: its causes and management [J].journal interventional radiology,2012,(04):185.
[10]周 慷,李晓光,金征宇,等.清宫术前子宫动脉化疗栓塞术治疗瘢痕妊娠的疗效分析[J].介入放射学杂志,2012,(03):190.
 ,,et al.Therapeutic analysis of bilateral uterine artery chemoembolization performed before uterine dilation and curettage for cesarean scar pregnancy [J].journal interventional radiology,2012,(04):190.

备注/Memo

备注/Memo:
 (收稿日期:20110831)
更新日期/Last Update: