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自1996年10日～1997年7日,我院对24例食管贲门狭窄患者在非X线下,行探条扩张治疗,疗效满意现报告如下:1 临床资料本组24例中,男20例,女4例;年龄44～65岁,平均54.5岁.均为食管贲门癌术后吻合口狭窄者.主要症状为吞咽困难,其程度按StooLer分级:Ⅱ级者4例,Ⅲ级者18例,Ⅲ级者2例(0级能进各种食物,Ⅰ级能进软食,Ⅱ级能进半流,Ⅲ级能进流汁,Ⅳ级不能进食、连唾液不能咽下).治疗:均在非X线下,以Savary-Gilliarrd锥形硅胶扩张器治疗,除2例病人术后15～30天又行2～3次扩张,余22例均治疗1次.术后患者吞咽困难好转,胃镜检查示,狭窄口较扩张前扩大,有效率达100%,未发生任何并发症,术后给予①进食半
From October 10, 1997 to July 7, 1997, 24 patients with esophageal and cardiac stenosis underwent dilation treatment under non-X-rays. The results are as follows: 1 Clinical data: Of the 24 patients in this group, 20 were males. 4 cases were female and 44-65 years old, with an average of 54.5 years old. All patients had esophageal and cardiac cancer after anastomotic stenosis. The main symptom was dysphagia. The degree was graded according to StooLer: 4 cases in grade II and 18 cases in grade III. Grade 3 were in 2 cases (level 0 can enter all kinds of foods, grade I can enter soft food, grade II can enter half-flow, grade III can enter juice, grade IV can not eat, saliva can not swallow). Treatment: On non-X-rays, treatment with the Savary-Gilliarrd conical silicone expander was performed except for 2 patients who underwent 2-3 expansions 15 to 30 days after surgery and the remaining 22 patients were treated once. The dysphagia was improved after surgery. Gastroscopy showed that the stenosis was enlarged before expansion, with an effective rate of 100% without any complications.