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[目的]分析内镜下切开术联合探条扩张术与单纯扩张法在食管良性狭窄的临床应用疗效。[方法]选取2014年7月~2016年7月我院收治150例食管良性狭窄患者作为研究对象,按照随机数字表将其分为对照组(n=75)及实验组(n=75),对照组采用单纯扩张法进行治疗,实验组采用内镜下切开术联合探条扩张术进行治疗,对比2组临床治疗效果、持续症状缓解时间、再次进行内镜下扩张治疗的间隔时间和并发症等情况。[结果]实验组的总有效率明显高于对照组(96.00%:84.00%,P<0.05);实验组的持续症状缓解时间明显长于对照组[(173.35±9.13)d:(101.33±7.82)d],P<0.05;实验组的再次进行内镜下扩张治疗的间隔时间明显长于对照组(189.23±20.15)d:(107.92±15.21)d,P<0.05),2组均无严重并发症发生。[结论]在食管良性狭窄治疗方面,采用内镜下切开术联合探条扩张术治疗方案,临床效果显著,能够有效改善食管狭窄情况,大大提高患者的生活质量,值得推广。
[Objective] To analyze the clinical effect of endoscopic resection combined with dilatation of probe and simple expansion in the treatment of benign esophageal stenosis. [Methods] A total of 150 patients with esophageal benign stenosis admitted to our hospital from July 2014 to July 2016 were selected as the research objects. According to the random number table, they were divided into control group (n = 75) and experimental group (n = 75) The control group was treated by simple dilatation method. The experimental group was treated by endoscopic dissection combined with dilatation of the probe. Compared with the two groups, the clinical treatment effect, the duration of sustained symptom relief, the time interval of concurrent endoscopic dilation and the concurrent Symptoms and other conditions. [Results] The total effective rate of the experimental group was significantly higher than that of the control group (96.00% vs 84.00%, P <0.05). The sustained symptom relief time of the experimental group was significantly longer than that of the control group [(173.35 ± 9.13) d: (101.33 ± 7.82) (P <0.05). There was no serious complication in the two groups (P> 0.05). The interval between the two groups was longer than that of the control group (189.23 ± 20.15 d, occur. [Conclusion] In the treatment of benign esophageal stenosis, the endoscopic resection combined with dilatation of the probe strip has significant clinical effect, which can effectively improve esophageal stenosis and greatly improve the quality of life of patients, which is worthy of popularization.