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8名贲门切除吻合术患者均显示食管内有明显的核素返流。对34名食管狭窄进行了72次扩张,并结合抗返流治疗。结果表明:(1)91.2%狭窄解除,近期(10天内)进食计分(0~3)从扩张前的1.18±0.75增至2.59±0.66(P<0.001);远期(平均19个月)进食计分为2.31±0.70,仍明显高于扩张前(P<0.01)。(2)8例局部注射激素,2个月后进食计分为2.5±0.5,而19例对照组为2.1±0.5。(3)平均扩张次数为2.1±1.1次。除1例扩张后并发出血外无其它并发症。
8 cardia resection and anastomosis patients showed significant esophageal radionuclide regurgitation. Thirty-four esophageal stenoses were expanded 72 times and combined with anti-reflux therapy. The results showed that: (1) 91.2% stenosis was relieved and score of food intake (0 ~ 3) increased from 1.18 ± 0.75 to 2.59 ± 0.66 (P <0 .001). The long-term (mean 19-month) eating score was 2.31 ± 0.70, which was still significantly higher than before dilation (P <0.01). (2) 8 cases of local injection of hormones, two months after eating score 2.5 ± 0.5, 19 cases of control group was 2.1 ± 0.5. (3) The average number of expansion was 2.1 ± 1.1 times. Except for one case, there was no other complication after the expansion and bleeding.