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目的探讨内镜下扩张治疗食管及贲门的良、恶性狭窄的临床疗效。方法术前进行内镜以及食管X线造影检查,了解狭窄的位置、形态、管腔直径大小以及有无肿瘤等情况。插入球囊扩张管,对169例食管及贲门的良性及恶性狭窄行球囊扩张或者并探条扩张、支架置入、热凝治疗。结果单纯行球囊扩张治疗158例,球囊扩张并支架置入6例,球囊扩张并热凝治疗4例,球囊扩张并探条扩张治疗1例,术后均有不同程度的疗效。结论食管及贲门的良、恶性狭窄的内镜下扩张治疗是一种简单、有效的治疗方法。
Objective To investigate the clinical efficacy of endoscopic dilation in the treatment of benign and malignant stenoses of the esophagus and cardia. Methods Preoperative endoscopic and esophageal X-ray examination to understand the location of stenosis, shape, size of the lumen and the presence or absence of tumor and so on. Into the balloon dilatation tube, 169 cases of esophageal and cardial benign and malignant stenosis balloon dilation or expansion of the probe, stent placement, thermal coagulation therapy. Results Simple balloon therapy in 158 cases, balloon dilatation and stent implantation in 6 cases, balloon dilation and thermocoagulation in 4 cases, balloon dilatation and probe dilation in 1 case, after the operation has varying degrees of curative effect. Conclusion Esophageal and cardial benign and malignant stenosis endoscopic dilation treatment is a simple and effective treatment.