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目的:探讨适用于家庭自助的食管狭窄扩张方法和治疗效果。方法:应用自行设计并申请专利的“家用便携式食管扩张器”治疗67例食管狭窄患者,其中食管化学腐蚀伤29例,食管肿瘤术后23例,下咽后壁及食管上端肿瘤术后13例,喉癌甲状腺癌复发侵犯食管术后狭窄2例。食管入口及上段狭窄15例,中段狭窄32例,中上段狭窄17例,全长狭窄3例,均未完全闭锁。结果:显效43例,有效24例。因肿瘤复发全身转移器官衰竭或侵蚀周围大血管出血致死7例。随访时间4个月~5年1个月,平均9.8个月。结论:家用便携式扩张器及家庭自助扩张法是一种治疗食管狭窄安全而有效的方法,本法简单、方便、痛苦少及费用低,特别适合于基层医院和经济欠发达的农村地区。
Objective: To explore the esophageal stenosis dilation method and treatment effect suitable for family self-help. Methods: Sixty-seven patients with esophageal stricture were treated with a home-designed portable esophageal dilator designed and patented, including 29 cases of esophageal chemical erosion, 23 cases of postoperative esophageal neoplasm, 13 cases of hypopharyngeal wall and the upper esophageal tumor , Laryngeal cancer recurrence of esophageal cancer recurrence in 2 cases. Esophageal entrance and the upper stenosis in 15 cases, 32 cases of stenosis in the middle, 17 cases of stenosis, 3 cases of full-length stenosis, were not completely blocked. Results: 43 cases were effective and 24 cases were effective. 7 cases died of tumor recurrence due to systemic metastasis of organ failure or erosion of peripheral blood vessel hemorrhage. Follow-up time of 4 months to 5 years and 1 month, an average of 9.8 months. Conclusion: Home portable dilator and home self-expansion method is a safe and effective method to treat esophageal stenosis. This method is simple, convenient, less painful and less costly, especially suitable for primary hospitals and economically underdeveloped rural areas.