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作者透视导向球囊扩张28例腐蚀性食管狭窄病人,评价其中22例的长期效果和复发率。男8例,女14例,年龄5～64岁,8例为醋酸腐蚀,14例为氢氧化物。病程平均18年(2月～51年)。以进食能力(不能吞咽、进食流质、软食、多数及各种食物)评价临床效果。狭窄分为短(<2.0cm)、中(2～5 cm)及长(>5 cm)三型。常规喷雾局麻咽部、肌注安定镇静。球囊导管通过狭窄段的方法与Mclean报道的方法相似,但未用鼻胃管及Lunderquist转矩控制导丝,而用一根0.035时成角的交换导丝(Radiofocus导丝)。球囊直径5～8mm(4～8 cm长)。重复扩张2～3次。易
The authors guided 28 patients with corrosive esophageal stricture balloon-guided expansion, evaluation of 22 cases of long-term effects and recurrence rate. 8 males and 14 females, aged 5 to 64 years, 8 cases of acetic acid corrosion, 14 cases of hydroxide. The course of an average of 18 years (February to 51 years). To assess the clinical effects of eating ability (can not swallow, eat liquid, soft food, most and all kinds of food). Stenosis is divided into short (<2.0cm), medium (2 ~ 5cm) and long (> 5cm) three types. General anesthesia throat anesthesia, intramuscular injection stability and calm. The balloon catheter was passed through the stenosis segment similar to that reported by Mclean, but without the nasogastric tube and Lunderquist torque control guidewire, a 0.035 angled exchange guidewire (Radiofocus guidewire) was used. Balloon diameter of 5 ~ 8mm (4 ~ 8 cm long). Repeated expansion of 2 to 3 times. easy