Rusanova N I
Vestn Khir Im I I Grek. 1975 Oct;115(10):19-23.
One hundred and eight five patients with an esophageal burn were treated clinically, 53 of them showed already developed strictures. In 31 cases the narrowing could be passed by a bougie 12-14. In 28 of them the esophagus was dilated by means of a routine dilation; in 3 there was perforation of the esophagus necessitating jugular mediastinotomy in the first, transdiaphragmatic mediastinotomy in the second, and resection of the thoracic esophagus in the third, the results being favourable in all of them. In 5 cases dilation was accomplished via an esophagoscope, but in 9 gastrostomized patients a successful retrograde dilation was performed. Eight subjects having nonviable strictures were amenable to surgical therapy.
108例食管烧伤患者接受了临床治疗,其中53例已出现狭窄。31例患者的狭窄部位可通过12 - 14号探条通过。其中28例通过常规扩张术扩张食管;3例发生食管穿孔,第一例需要行颈部纵隔切开术,第二例需要行经膈肌纵隔切开术,第三例需要切除胸段食管,所有患者预后均良好。5例通过食管镜进行扩张,但9例胃造瘘患者成功进行了逆行扩张。8例患有无法治愈的狭窄患者适合手术治疗。