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作者报告30例上胃肠道狭窄经X线导引下行球囊扩张法,并对患者随访观察。男女各15例,年龄为50岁至89岁,平均74岁。在扩张前做钡餐检查提示食管狭窄的性质和部位。引起狭窄的病因:裂孔疝和返流性食管炎13例,贲门失弛缓症5例,放疗后4例,原发癌3例,吻合口狭窄2例,幽门梗阻3例。患者用安定镇静,扩张时如感不适可用度冷丁,并用利多卡因喷雾剂行局麻,经口腔插管和导丝,采用直径20mm长8cm食管扩张导管,若严重狭窄,则在开始扩张时用血管成形术导管。在透视
The authors report 30 cases of gastrointestinal stenosis by X-ray guided balloon dilation, and follow-up observation of patients. Fifteen men and women, aged 50 to 89 years old, with an average of 74 years old. Before the expansion barium meal examination to check the nature and location of esophageal strictures. Causes of stenosis: hiatal and reflux esophagitis in 13 cases, achalasia in 5 cases, 4 cases after radiotherapy, primary cancer in 3 cases, anastomotic stenosis in 2 cases, pyloric obstruction in 3 cases. Patients with diazepam, dilate discomfort when available cold Ding, and lidocaine spray with local anesthesia, oral intubation and guide wire, the use of diameter 20mm long 8cm esophageal dilatation catheter, if severe stenosis, at the beginning of expansion Use angioplasty catheter. In perspective