Lanza F L
South Med J. 1978 Jan;71 Suppl 1:8-9.
Ninety patients with benign esophageal stricture were treated conservatively with bougienage, antireflux, and antacid therapy. There was improvement in 79% of these patients, only 14% were unchanged, and 7% became worse. Only three patients eventually were operated upon. Bougienage was accomplished in many cases using the fiberscope as a bougie, followed by progressive dilatations with soft mercury-filled dilators. Many patients had initial dilatation with a guidewire placed through the stricture into the stomach under direct vision through the fiberscope. All patients were treated with antireflux measures and antacid subsequent to their dilatations. These measures were found to be both safe and effective in most cases. Surgery was believed to be indicated only in patients who failed to respond to these measures.
90例良性食管狭窄患者接受了探条扩张、抗反流和抗酸治疗等保守治疗。这些患者中有79%病情好转，只有14%无变化，7%病情恶化。最终只有3例患者接受了手术。在许多病例中，使用纤维内镜作为探条进行探条扩张，随后用软质充汞扩张器进行逐步扩张。许多患者最初通过纤维内镜直视下将导丝穿过狭窄部位置入胃内进行扩张。所有患者在扩张后均接受了抗反流措施和抗酸治疗。这些措施在大多数情况下被认为是安全有效的。手术被认为仅适用于对这些措施无反应的患者。
