内镜下放射状切开治疗上消化道良性狭窄的临床初探-中国内镜杂志.pdf

22 卷 2 期 国内镜杂志 Vol. 22 No.2 2016 年2 月 China Journal of Endoscopy Feb. 2016 DOI: 10.3969/j.issn.1007-1989.2016.02.026 文章编号： 1007-1989 2016）02-0107-04 内镜下放射状切开治疗上消化道良性狭窄的临床初探 庄耘，陈建平，孙静，徐馥，杨莉君 江苏省常州市第一人民医院 消化内科，江苏 常州 213003） 摘要：目的 评价内镜下放射状切开 ERI）治疗上消化道良性狭窄的安全性及有效性。方法 将食管、胃 良性狭窄患者 包括吻合口狭窄、内镜下黏膜剥离术后狭窄及腐蚀性狭窄）纳入该试验中，记录其狭窄程度、病 变长度和瘢痕厚度等，内镜下对狭窄病变进行ERI，必要时辅助球囊扩张，并记录术后症状改 情况、并发症及 。 ，均成功行 其中 术后所有患者吞 患者预后 结果 一共7 例入组该试验 ERI 治疗， 4 例联合球囊扩张， 咽困难 均明显改 ，有1 例术后少量出血，经保守治疗后缓解。在长期随访过程中，大多数患者经过1 或2 次ERI 后 可达到长期缓解。结论 ERI 治疗上消化道良性狭窄是安全有效的，可以延长管腔通畅时间，值得临床推广。 关键词：上消化道良性狭窄；吻合口狭窄；内镜下黏膜剥离术；腐蚀性狭窄；内镜下放射状切开；球囊扩张 图分类号：R571.1 文献标识码：B Efficacy of endoscopic radial incision (ERI) for benign stricture of upper digestive system Yun Zhuang, Jian-ping Chen, Jing Sun, Fu Xu, Li-j un Yang (De partme nt of Digestiv e Diseases, the First Peoples Hospital, Changzhou, Jiangs u 213003, China) Abstract: Obj ective To evaluate the safety and efficacy of endoscopic radial incision (ERI) for benign stricture of upper digestive system. Methods Patients with benign esophageal or gastric stricture (including anastomotic stricture, stricture after ESD and caustic stricture) were enrolled in this study. The stage of stricture, length of the lesion and the thickness of the scar were recorded. ERI (maybe associated with balloon dilatation) were performed. Post-opera tive symptoms, complications and follow -up were also recorded. Results 7 patients were enrolled and all re