Oskretkov V I, Shel' A I, Trott V F, Flat K L
Khirurgiia (Mosk). 1992 Sep-Oct(9-10):72-8.
The article describes treatment of 65 patients with postburn, extended, rigid cicatricial strictures of the esophagus by the method of temporary endoprosthetics. Most patients had an extended stricture. In 44 patients the diameter of the stenosed segment measured no more than 4 mm. Stage endoprosthesis of the esophagus was carried out in 32 patients. Devices by which intraoperative dilatation of the stricture can be achieved and its rigidity measures are shown, as well as designs of esophageal endoprostheses and an extractor of the endoprosthesis. The method suggested by the authors produced good results in 60 patients, esophagoplasty had to be undertaken in the remaining 5 patients. There were no fatal outcomes.
本文介绍了采用临时内支架置入法治疗65例烧伤后食管广泛性、僵硬性瘢痕狭窄患者的情况。大多数患者存在广泛性狭窄。44例患者狭窄段直径不超过4毫米。32例患者进行了分期食管内支架置入。展示了可实现术中狭窄扩张及其硬度测量的器械,以及食管内支架和内支架取出器的设计。作者提出的方法在60例患者中取得了良好效果,其余5例患者不得不进行食管成形术。无死亡病例。