Khadzhibaev A M, Iangiev B A, Nizamkhodzhaev Z M, Marupov A M, Shagazatov D B
Klin Khir. 2003 Oct(10):16-8.
Experience of treatment of 52 patients with oesophageal chemical burn in acute and early postburn period was analyzed, as well as in 649--with oesophageal postburn cicatricial stricture (OPCS). In 18 patients perforation of esophagus had occurred during performance of bougienage. Rational complex of diagnostic and therapeutic measures in such patients was determined. The results of bougienage in patients with OPCS were summarized. Causes of the oesophageal perforation occurrence during bougienage were analyzed. Tactics of surgical treatment of esophageal perforation was determined. Analysis of the treatment results and of the main causes, which conditioned upon the postoperative complications occurrence, was conducted.
分析了52例急性和烧伤后早期食管化学烧伤患者以及649例食管烧伤后瘢痕性狭窄（OPCS）患者的治疗经验。18例患者在探条扩张过程中发生了食管穿孔。确定了此类患者合理的综合诊断和治疗措施。总结了OPCS患者探条扩张的结果。分析了探条扩张过程中食管穿孔发生的原因。确定了食管穿孔的手术治疗策略。对治疗结果以及导致术后并发症发生的主要原因进行了分析。
