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目的 探讨哑铃型气囊对食管狭窄的疗效 方法 采用 E V I S200 系列 S Y 哑铃型气囊导管扩张器治疗食管狭窄115 例。 结果 本组扩张前口径为0.3~0.5cm ,第一次扩张后明显效果者 55 例,扩张至口径 1.2cm 以上;有效者 56 例,扩张后口径 0.6~1.1cm ,4 例因吻合口狭窄伴有成角畸形严重,扩张3 次后口径由0.4cm 扩到1.2cm 。 结论 此方法简单、易行、安全、可靠,可迅速打开进食通道,解决病人进食困难之苦,避免开胸手术,疗效显著。
Objective To investigate the curative effect of dumbbell-shaped balloon on esophageal stenosis in 115 cases of esophageal stenosis with E V I S200 series S Y dumbbell-shaped balloon catheter dilator. Results This group before expansion diameter of 0.3 ~ 0.5cm, after the first expansion of the obvious effect of 55 patients, expanded to more than 1.2cm in diameter; effective in 56 cases, the expanded diameter of 0.6 ~ 1.1cm, 4 cases due to anastomotic stenosis with severe angular deformity, expanded 3 times after the caliber expanded from 0.4cm to 1.2cm. Conclusion This method is simple, easy, safe, reliable and can quickly open the feeding channel, to solve the patient suffering from eating difficulties, to avoid thoracotomy, a significant effect.