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用自制针式高频电刀于内镜下切除食管癌术后吻合口疤痕狭窄组织。共进行89例、262次。其中,中上段狭窄52例(58.42%),中下段狭窄37例(41.58%)。吻合口<2.0mm呈闭合状40例,<3.0mm17例,>3.0mm16例,有16例被食物团嵌顿。切除疤痕后1次即通畅者62例,作2次、3次通畅者各11例,作81次、43次、12次、5次、4次通畅者各1例(前2例为膜蹼样疤痕增生狭窄,每1-3月需重复治疗1次)。本项治疗技术疗效可靠,安全性好,值得推广。
Esophageal carcinoma anastomotic scar stenosis was surgically resected with a self-made needle high-frequency electric knife. A total of 89 cases, 262 times. Among them, 52 cases (58.42%) were in the upper and middle stenosis, and 37 cases (41.58%) were in the middle and lower stenosis. The anastomosis was <2.0mm in 40 cases closed, <3.0mm in 17 cases, >3.0mm in 16 cases, 16 cases were incarcerated by the food group. After the scar was removed, 62 cases were unobstructed, 11 cases were performed 2 times, 3 cases were unobstructed, and 1 case was performed 81 times, 43 times, 12 times, 5 times, and 4 times. (The first two cases were diaphragmatic fistulas. Scar-like hypertrophy and stenosis, requiring repeated treatment once every 1-3 months). This treatment technology is reliable, safe and worthy of promotion.