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本文回顾性研究55例食管良性狭窄,男性30例,女性25例.年龄17～86岁,平均57岁.所有病人均有吞咽困难,吞钡造影有食管狭窄.食管纤维镜检取活体组织病检和刷片均证实为食管炎或纤维化.5例并有Barrett氏食管.文本根据临床病史、内窥镜检所见以及食管功能测定来分析其引起狭窄的最有根据的病因.对食管进行24小时pH监测,接触胃酸时间延长者考虑为返流性病变.24小时中酸度正常或不能进行食管功能检查者,需进一步检查狭窄的病因.特别注意到在发生吞咽困难前是否有长期内服某种药物的病史.本组对52例进行了24小时食管pH监测,其中41例(79%)酸度异常,考虑为返流引起食管狭窄;另11
This study retrospectively studied 55 cases of benign esophageal stenosis, 30 males and 25 females, aged 17 to 86 years, mean 57. All patients had dysphagia and esophageal stenosis with barium angiography.Fluid esophagoscopy Examination and brushing were confirmed as esophagitis or fibrosis in 5 cases with Barrett’s esophagus.The text was based on clinical history, endoscopic findings and esophageal function analysis to analyze the most likely causes of stenosis on the esophagus 24-hour pH monitoring, contact with gastric acid exacerbation were considered reflux disease .24 hours normal acidity or can not be esophageal function tests, further examination of the etiology of stenosis .Special attention to the occurrence of dysphagia before long-term oral administration A group of 52 patients with a history of esophageal pH monitoring, of which 41 cases (79%) had an abnormal acidity and considered esophageal stenosis due to reflux