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应用食管扩张器治疗食管癌、贲门癌术后吻合口狭窄的临床研究

CLINICAL STUDY FOR ESOPHAGUS DILATING TECHNIQUE IN THE TREATMENT OF POSTOPERATIVE ANASTOMOTIC STRICTURE FOR ESOPHGEAL CANCER AND CARDIAC CANCER

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【作者】 卫功铨邵令方高宗人李俊秀许金良陈明跃王文光

【Author】 Wei Gong-quan Shao Ling-fang Gao Zong-ren et al(Henan Tumor Hospital,Zhengzhou 450003)

【机构】 河南省肿瘤医院胸外科

【摘要】 本文报告了自1983年5月~1993年5月应用食管扩张器治疗食管癌、贲门癌术后吻合口狭窄患者658例临床研究结果,共行扩张3240次,有效率达96.5%。扩张5次以下明显好转占61.6%,10次以下明显好转占84.5%。术后发生并发症27例,占4.1%。食管穿孔8例(1.2%),吻合口出血4例(0.6%),纵隔炎1例(0.2%),局部损伤14例(2.1%)。作者对食管扩张术的适应证,操作中注意事项及并发症进行了讨论。

【Abstract】 This article reports the experience and results of the esophageal dilatingtechnique using imported esophageal dilation in the treatment of 658 cases of postoperativeanastomotic stricture for esophageal cancer and cardiac cancer during the period from May1983 through May 1993,being delated addup to 3240 times with total effective rate 96.5%,among them 61.6%of the cases less than five,84.5%of the cases less than ten.Of them,27cases(4.1%)had postoprative complications,of which the main ones were esophagusperforation 8 cases(1.2%),hemorrhage of anastomotic stoma 4 cases (0.6%),mediastinitis1 case(0.2%)and loca trauma 14 cases (2.1%).The operative indication,surgical techniqueand complication were discussed.

【关键词】 食管狭窄扩张术
【Key words】 esophageal stricturedilating technique
  • 【文献出处】 河南医学研究 ,HENAN MEDICAL RESEARCH , 编辑部邮箱 ,1995年02期
  • 【分类号】R735.05
  • 【下载频次】19
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