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目的 :探讨经内镜水囊扩张治疗食管狭窄的应用价值。方法 :采用电子胃镜及CRE水囊导管扩张器治疗食管狭窄 5 8例。结果 :本组扩张前口径 0 .2～ 0 .5cm ,经扩张治疗后口径达 1.0～ 1.5cm。 5 1例食管良性狭窄者 ,在平均 3.4次 (扩张次数 1～ 6次 )扩张后 ,食管狭窄完全缓解 ,另 7例晚期食管癌经水囊扩张后放置内支架 ,所有病人均能恢复正常通道进食。其中 2 / 181例次出现颈部和胸部皮下气肿 ,经保守治疗好转。结果 :采用内镜水囊扩张治疗术 ,已成为治疗食管狭窄的一种安全有效的方法。该方法比传统的探条扩张治疗更安全有效 ,可作为治疗食管狭窄的首选方法
Objective: To evaluate the value of endoscopic balloon dilation in the treatment of esophageal stenosis. Methods: 58 cases of esophageal stenosis were treated with electronic gastroscope and CRE water balloon catheter dilator. Results: This group before expansion Diameter 0.2 ~ 0.5cm, after dilation treatment diameter of 1.0 ~ 1.5cm. Among the 51 patients with benign esophageal stenosis, esophageal stenosis was completely relieved after an average of 3.4 times (1 ~ 6 times of dilatation) esophageal stenosis, while the other 7 cases of advanced esophageal cancer were placed with an endovascular stent after dilatation of the water sac, and all patients recovered to normal channel Eat. 2/181 cases of subcutaneous emphysema appeared in the neck and chest, after conservative treatment improved. Results: Endoscopic balloon dilatation therapy has become a safe and effective treatment of esophageal stenosis. This method is safer and more effective than traditional probe dilation, which is the preferred method of treating esophageal stenosis