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目的探讨哑铃型气囊导管扩张器治疗食管癌术后吻合口狭窄的临床疗效。方法应用哑铃型气囊导管扩张器对76例食管癌术后吻合口狭窄患者进行扩张治疗,了解其有效率,并对良恶性狭窄进行扩张效果比较。结果76例患者经扩张治疗后,显效58例,有效18例,总有效率100%。良恶性狭窄扩张后症状缓解持续时间比较差异有显著性(P<0.05)。结论哑铃型气囊导管扩张器治疗食管癌术后吻合口狭窄安全有效,特别对良性狭窄疗效更佳。
Objective To investigate the clinical efficacy of dumbbell-shaped balloon catheter dilator in the treatment of postoperative anastomotic stricture of esophageal cancer. Methods Dumbbell-shaped balloon catheter dilator was used to expand 76 cases of esophageal cancer patients with anastomotic stenosis. The effective rate was compared with that of benign and malignant stenosis. Results 76 cases of patients after expansion therapy, markedly effective in 58 cases, 18 cases, the total efficiency of 100%. The duration of symptom relief after benign and malignant stenosis was significantly different (P <0.05). Conclusion dumbbell balloon catheter dilator for the treatment of esophageal cancer anastomotic stenosis is safe and effective, especially for the treatment of benign stenosis better.