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内镜下球囊扩张联合沙棘油治疗食管癌术后吻合口良性狭窄的临床效果

Clinical effect of endoscopic balloon dilation combined with sea buckthorn oil in the treatment of benign anastomotic stenosis after esophageal cancer surgery

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【作者】 付小伟杨智王军岐周丽明

【Author】 FU Xiao-wei;YANG Zhi;WANG Jun-qi;ZHOU Li-ming;Thoracic Surgery Department,Baoji Center Hospital;Gastroscopy Room,Baoji Center Hospital;

【通讯作者】 王军岐;

【机构】 宝鸡市中心医院胸外科宝鸡市中心医院胃镜室

【摘要】 目的评价内镜下球囊扩张联合沙棘油治疗食管癌术后吻合口良性狭窄的效果。方法选取64例食管癌术后吻合口良性狭窄患者,将32例单纯内镜下球囊扩张患者作为对照组,将32例内镜下球囊扩张联合口服沙棘油患者作为观察组。对两组患者扩张后吞咽困难改善情况及扩张次数进行分析。结果观察组与对照组的治疗总有效率均为100.00%,差异无统计学意义(P>0.05)。观察组扩张2次患者占比高于对照组,观察组扩张2次以上患者占比低于对照组(P<0.05)。结论内镜下球囊扩张联合沙棘油治疗食管癌术后吻合口良性狭窄的复发率低,值得临床推广应用。

【Abstract】 Objective To evaluate the efficacy of endoscopic balloon dilation combined with sea buckthorn oil in the treatment of benign anastomotic stenosis after esophageal cancer surgery. Methods Sixty-four patients with benign anastomotic stenosis after esophageal cancer operation were selected, 32 patients treated with simple endoscopic balloon dilation were selected as control group, 32 patients treated with endoscopic balloon dilation combined with oral sea buckthorn oil were selected as observation group. The improvement of dysphagia after dilation and the frequency of dilation in both groups were analyzed. Results The total effective rate of treatment in the observation group and control group were 100.00%, with no significant difference(P>0.05). The proportion of patients dilated twice in the observation group was higher than that in the control group, and the proportion of patients dilated more than twice in the observation group was lower than that in the control group(P<0.05). Conclusion Endoscopic balloon dilation combined with sea buckthorn oil has a low recurrence rate in the treatment of benign anastomotic stricture after esophageal cancer surgery, which is worthy of clinical promotion and application.

【基金】 陕西省自然科学基础研究计划项目(No.2017JM8161)
  • 【文献出处】 临床医学研究与实践 ,Clinical Research and Practice , 编辑部邮箱 ,2019年07期
  • 【分类号】R735.1
  • 【被引频次】1
  • 【下载频次】92
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