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目的 :探讨经内镜球囊扩张和金属支架置入术治疗结直肠良、恶性狭窄的临床疗效。方法 :经内镜球囊扩张共治疗结直肠狭窄 16例 ,其中良性狭窄 11例 ,癌性狭窄 5例。有 3例癌性狭窄经扩张后放置金属支架。结果 :11例良性狭窄病变经过 2～ 4次球囊扩张治疗后 ,均解除梗阻症状 ,无 1例需手术治疗。 5例癌性狭窄 ,有 3例经扩张后放置金属支架成功 ,2例解除梗阻后接受手术治疗 ,1例直肠癌术后复发肠腔狭窄伴盆腔广泛转移者扩张治疗失败。结论 :经内镜球囊扩张和金属支架置入术治疗结直肠狭窄是一种简单、安全、有效的方法
Objective: To explore the clinical efficacy of endoscopic balloon dilatation and metal stent placement in the treatment of colorectal benign and malignant stenosis. Methods: Sixteen cases of colorectal stenosis were treated with endoscopic balloon dilatation. There were 11 cases of benign stenosis and 5 cases of cancerous stenosis. Three cases of cancerous stenosis were expanded and placed metal stents. Results: 11 cases of benign stenosis lesions were relieved after 2 to 4 balloon dilations. No case required surgery. In 5 cases of cancerous stenosis, 3 cases were successfully placed metal stents after stenting, 2 cases were relieved of the obstruction and received surgical treatment, and 1 case of recurrent rectal cancer recurred after the treatment of intestinal cavity stenosis with extensive pelvic metastasis. Conclusion: Endoscopic balloon dilatation and metal stent placement for colorectal stricture is a simple, safe and effective method.