Bohutová J, Pokorný M, Sram F
Radiodiagnostická klinika ILF, Praha.
Cesk Radiol. 1990 Jan;44(1):26-31.
The dilatation of oesophagus oral portion in the Kelly-Paterson (Plummer Vinson) syndrome was made in two female patients at the age of 58 and 81 years. For the extreme stenosis (2 and 3 mm) of the lumen the dilatation was first performed by the Grüntzig Catheter and after extension above 5 mm special oesophageal catheters with a balloon of 15 mm diameter (Cook) were used. The dilatation proved successful in both patients. The dilatation in the K.-P. syndrome must be performed with care beginning with catheters of small diameter and narrow end with a step-wise slow filling of the balloon. A good anesthesia of upper respiratory pathways and swallowing passages is required.
两名分别为58岁和81岁的女性患者出现了凯利 - 帕特森(普卢默 - 文森)综合征中食管口腔段扩张的情况。由于管腔极度狭窄(分别为2毫米和3毫米),最初使用格伦齐格导管进行扩张,在管腔扩张至5毫米以上后,使用了直径为15毫米球囊的特制食管导管(库克公司生产)。两名患者的扩张均获成功。在凯利 - 帕特森综合征中进行扩张时,必须小心操作,从直径小、末端窄的导管开始,逐步缓慢充盈球囊。需要对上呼吸道和吞咽通道进行良好的麻醉。