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目的内镜直视下对临床各种原因造成的食管狭窄进行扩张治疗。方法 2006年2月至2010年3月,我院消化内镜中心对32例不同程度的食管狭窄患者应用Savary扩张器进行扩张治疗。结果 32例均有明显疗效,扩张治疗后吞咽困难Ⅱ级变为0级5例,Ⅲ级变为Ⅱ级4例,Ⅲ级变为I级21例,Ⅳ级变为Ⅱ级1例,Ⅳ级变为Ⅲ级1例。32例共扩69次,其中21例扩张1次,5例2次,2例3～5次,2例6次,1例8次,1例11次。结论探条扩张治疗食管狭窄,疗效确切,对提高患者生活质量,延长生存期具有较高价值。
Objective Endoscopic treatment of esophageal stenosis caused by various causes of clinical treatment. Methods From February 2006 to March 2010, 32 patients with esophageal stricture treated with digestive endoscopy in our hospital were treated with Savary dilator. Results 32 cases had obvious curative effect. After the expansion treatment, the dysphagia grade Ⅱ became 0, 5 cases, Ⅲ grade changed to Ⅱ grade in 4 cases, Ⅲ grade changed to I grade in 21 cases, Ⅳ grade changed to Ⅱ grade in 1 case, Ⅳ Grade to grade Ⅲ in 1 case. 32 cases of total expansion of 69 times, of which 21 cases of expansion 1, 5 cases 2 times, 2 cases 3 to 5 times, 2 cases 6 times, 1 case 8 times, 1 case 11 times. Conclusion Expansion of the treatment of esophageal stenosis, curative effect is exact, to improve the quality of life of patients with prolonged survival has a high value.