CAJ | 학술논문

目的：探讨内镜下探条扩张术治疗食管癌术后吻合口狭窄的临床疗效和安全性。方法回顾性分析采用探条扩张术治疗食管癌术后吻合口狭窄的268例患者的临床资料。结果268例食管癌术后吻合口狭窄患者经探条扩张治疗后，吞咽困难改善显效245例，有效18例，无效5例，总有效率98.13%。术中并发食管穿孔1例，发生率为0.37%(1/268)，大出血2例，发生率为0.75%(2/268)，出现并发症的患者均为食管癌术后放疗后的患者。结论内镜下探条扩张术是治疗食管癌术后吻合口狭窄安全有效的方法。
목적：탐토내경하탐조확장술치료식관암술후문합구협착적림상료효화안전성。방법회고성분석채용탐조확장술치료식관암술후문합구협착적268례환자적림상자료。결과268례식관암술후문합구협착환자경탐조확장치료후，탄인곤난개선현효245례，유효18례，무효5례，총유효솔98.13%。술중병발식관천공1례，발생솔위0.37%(1/268)，대출혈2례，발생솔위0.75%(2/268)，출현병발증적환자균위식관암술후방료후적환자。결론내경하탐조확장술시치료식관암술후문합구협착안전유효적방법。
Objective To evaluate the clinical efficacy and safety of endoscopic expansion therapy on esophageal anastomotic stenosis. Methods 268 cases with esophagus and cardia stenosis who underwent endoscopic probe dilation were retrospectively analyzed. Results Among 268 cases. Deglutition difficulty was improved in 245 patients, effective in 18 patients and had no change in 5 patients after the treatment. The total effective rate was 98.13%. Esophageal perforation occurred in 1 case, large hemorrhage in 2 cases, the patients with complications were treated after radiotherapy. Conclusion Endoscopic probe dilatation for esophagostenosis is an effective and safe method.