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使用液体闪烁扫描术评估经球囊扩张的良性食管狭窄

Assessment of benign esophageal stricture dilated by balloon using liquid scintigraphy.

作者信息

Kjellén G

出版信息

Dysphagia. 1989;4(3):155-7. doi: 10.1007/BF02408039.

Abstract

Benign esophageal strictures with a diameter of less than 10 mm were dilated by balloon catheter in 15 patients. Liquid esophageal transit scintigraphy was performed before, the day after, and 3 weeks following dilatation. Before treatment the mean esophageal transit was 38 s (range, 8.0-120). The day after dilatation the mean transit time was 20 s (range, 7.5-120), which differed significantly (p less than 0.01) from the pretreatment value. At the 3 weeks check-up, the mean transit time was 16 s (range, 4.5-120), which did not differ (NS) from the result obtained the day after treatment. Thus, esophageal liquid transit improves rapidly and lasts for at least 3 weeks. Improvement in esophageal liquid transit did not always accord with the clinical outcome after dilatation, which was significantly (p less than 0.05) related to the postdilatation stricture width as measured radiographically.

摘要

15例直径小于10毫米的良性食管狭窄患者采用球囊导管进行扩张。在扩张前、扩张后第1天和扩张后3周进行液体食管通过闪烁扫描。治疗前食管平均通过时间为38秒(范围8.0 - 120秒)。扩张后第1天平均通过时间为20秒(范围7.5 - 120秒),与治疗前值相比差异有统计学意义(p < 0.01)。在3周复查时,平均通过时间为16秒(范围4.5 - 120秒),与治疗后第1天的结果无差异(无统计学意义)。因此,食管液体通过情况改善迅速且至少持续3周。食管液体通过情况的改善并不总是与扩张后的临床结果一致,临床结果与X线测量的扩张后狭窄宽度显著相关(p < 0.05)。

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