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食管贲门良恶性狭窄病变是临床常见疾病,严重影响患者的生活质量,并可导致营养不良等并发症。我院自1997年2月至2004年7月,采用探条扩张术治疗食管贲门狭窄患者285例,取得了良好疗效,现报道如下。1.一般资料:285例食管贲门狭窄病例均为消化科门诊患者,其中男188例,女97例,年龄21-81岁,<40岁3例,40—49岁29例,50—59岁128例,60—69岁89例,>70岁36例。狭窄病因:术后单纯吻合口狭窄228例,放疗后狭窄16例,吻合口癌复发9例,未经治疗的癌性狭窄8例,贲门失弛缓症5例,腐蚀性食管炎瘢痕狭窄4例,其他15例。按吞咽困难Stooler分级:1级8例,2级62例,3级126例,4级89例。
Esophageal benign and malignant stenosis is a common clinical disease, seriously affecting the quality of life of patients, and can lead to malnutrition and other complications. Our hospital from February 1997 to July 2004, using probe dilation of 285 patients with esophageal and gastric stricture, and achieved good results, are reported below. 1. General information: 285 cases of esophageal and cardiac stricture patients are gastroenterology outpatients, including 188 males and 97 females, aged 21-81 years, <40 years old in 3 cases, 40-49 years in 29 cases, 50-59 years old 128 cases, 60-69 years old 89 cases,> 70 years old 36 cases. Stenosis causes: simple anastomotic stenosis in 228 cases, 16 cases of stenosis after radiotherapy, anastomotic cancer recurrence in 9 cases, untreated cancer stenosis in 8 cases, achalasia in 5 cases, corrosive esophagitis scar stenosis in 4 cases , Other 15 cases. According to dysphagia Stooler grading: 1 grade in 8 cases, grade 2 in 62 cases, grade 3 in 126 cases, grade 4 in 89 cases.