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用带囊导管扩张术治疗食管灼伤后狭窄36例,包括强酸灼伤9例、强碱灼伤26例、沸水烫伤1例。36例患者共有狭窄54处,其中多为长段重度狭窄,治疗难度较大。我们提出:对此类病人扩张时机的选择至关重要,一般应在病情稳定2～3个月后,重者在灼伤1年后开始扩张。本组疗效的判定依据我们制定的综合指标,总有效率为93.6%。本文还对各种腐蚀剂的持点、扩张术的并发症进行了讨论,认为本法安全简便、疗效显著,应为临床首选。
36 cases of stricture after esophageal burns were treated by balloon catheterization, including 9 cases of acid burns, 26 cases of alkali burns and 1 case of boiling water scald. 36 patients had a total of 54 stenosis, mostly long severe stenosis, the treatment more difficult. We propose: the timing of the expansion of such patients is crucial for the timing of the election, the general condition should be stable after 2 to 3 months, severe cases of 1 year after the burn began to expand. The efficacy of this group to determine the basis of our comprehensive indicators, the total effective rate was 93.6%. This article also held a variety of corrosive point, the expansion of the complications were discussed, that the safe and easy method, the effect is significant, should be the clinical choice.