[1]程英升,尚克中,庄奇新,等.食管良性狭窄介入治疗方法探讨和再狭窄原因分析[J].介入放射学杂志,1998,(02):88-91.
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食管良性狭窄介入治疗方法探讨和再狭窄原因分析()

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

卷:
期数:
1998年02期
页码:
88-91
栏目:
临床研究
出版日期:
2000-01-01

文章信息/Info

作者:
程英升;尚克中;庄奇新;李明华;许建荣;杨世埙;
上海市第六人民医院放射科 200233;
关键词:
食管 狭窄 再狭窄 介入治疗
摘要:
目的:探讨食管良性狭窄有效的介入治疗方法,并分析发生食管再狭窄的主要原因。对象与方法:50例食管良性狭窄病人,其中35例采用X线下不同型号球囊导管扩张治疗。另15例在X线下置入食管内支架。所有病人治疗前皆有不同程度的吞咽困难。结果:35例食管良性狭窄共进行67次球囊扩张,平均1.9次。摄食能力术前后分级和术后症状复发时分别为1.43±0.80级.4.88±0.83级和1.71±0.82级。食管最狭窄处直径术前后和症状复发时分别为4.02±2.09mm.9.86±2.98mm和4.52±1.95mm。症状缓解1~12月,平均3.14±2.37个月。15例食管良性狭窄支架置入术技术成功率100%。支架置入前后摄食能力分级为0.8±0.84级和3.8±0.45级,食管管腔内径术前后为3.6±1.34mm.18.4±0.89mm。术后随访10天~30月,平均10.5个月。发生再狭窄3例。结论:食管狭窄介入治疗是提高食管良性狭窄治疗短期疗效的首选方法。食管再狭窄主要是肉芽组织增生所致。

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更新日期/Last Update: 1900-01-01