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目的 探讨扩张与支架治疗食管狭窄术前、术中及术后处理方法 ,以减少并发症的发生 ,提高疗效。方法 2 3 2例食管狭窄扩张与支架安置患者 ,采用内镜复查、住院及门诊就诊随访、电话与信件随访方式 ,回顾性研究扩张与支架在治疗食管狭窄中的作用。结果 1次性扩张 62例、2次性扩张 81例、3次性扩张 2 0例、2 5次扩张 1例。68例安放支架者中 ,66例一次性安放成功。 1例第二次安放成功 ,1例安放失败。每欠扩张平均进级为 2级 ,治疗前后分级与症状改善有非常显著的差异。治疗后 ,除 1例进食无明显改观 ,12例仅能大口进半流质外 ,其余均可正常饮食 ,未发现与扩张和支架相关的严重并发症。结论 加强术前、术中及术后处理 ,有利于提高疗效 ,减少并发症。内镜下扩张与支架治疗是一种方便、安全、疗效明显、快捷、深受患者欢迎和临床医师认可的介入性治疗方法
Objective To investigate the methods of preoperative, intraoperative and postoperative treatment of esophageal stenosis with stent implantation in order to reduce the incidence of complications and improve the curative effect. Methods Twenty-two patients with esophageal stenosis and stent placement were retrospectively studied the effects of dilatation and stent in the treatment of esophageal stenosis by endoscopy, inpatient and outpatient follow-up, telephone and letter follow-up. Results One-off dilatation in 62 cases, 2 cases of dilatation in 81 cases, 3 cases of dilatation 20 cases, 25 cases of dilatation in 1 case. In 68 cases of stents, 66 cases were successfully placed at one time. 1 case of the second placement was successful, 1 case of placement failed. Each expansion due to the average upgrade to grade 2, before and after treatment to improve the classification and symptoms have a very significant difference. After treatment, except for one case, no significant changes were observed in the diet. Only 12 cases were able to enter the semi-liquid medium with large mouth. The rest were all fed normally. No serious complications related to dilatation and stent were found. Conclusion To strengthen the preoperative, intraoperative and postoperative management, is conducive to improving the efficacy and reduce complications. Endoscopic dilatation and stent treatment is a convenient, safe, effective, quick, well received by patients and clinicians recognized interventional treatment