Chia S J, Chua C L, Cheong W Y, Low C H
Department of Surgery, Tan Tock Seng Hospital, Singapore.
Ann Acad Med Singap. 1994 Sep;23(5):781-4.
Benign oesophageal stricture is a disabling problem associated with oesophageal surgery, injection sclerotherapy and patients with reflux problems. Fortunately, mechanical dilatation has emerged as an effective treatment of choice. In recent years, balloon dilatation appears to have gained popularity because of its efficacy and safety. This study of 43 patients compares manual dilatation with balloon dilatation. Twenty-one patients underwent manual dilatation with either Eder-Puestow or Gum Elastic dilators. There were 4 failures which were then treated successfully with balloon dilatation. Two other patients developed perforation and needed emergency surgery. Nine patients required 3 or more graduated dilatations within one month. Another group of 22 patients were treated successfully by balloon dilatation without any complications. Ten patients developed recurrent dysphagia and needed another repeat dilatation after an interval averaging 4.5 months. The results show quite conclusively that balloon dilatation is superior to manual dilatation.
良性食管狭窄是一种与食管手术、注射硬化疗法以及反流问题患者相关的致残性问题。幸运的是，机械扩张已成为一种有效的治疗选择。近年来，球囊扩张因其有效性和安全性似乎越来越受欢迎。这项对43例患者的研究比较了手动扩张和球囊扩张。21例患者使用Eder-Puestow或弹性树胶扩张器进行手动扩张。有4例失败，随后通过球囊扩张成功治疗。另外2例患者发生穿孔，需要紧急手术。9例患者在一个月内需要3次或更多次逐级扩张。另一组22例患者通过球囊扩张成功治疗，无任何并发症。10例患者出现复发性吞咽困难，平均间隔4.5个月后需要再次扩张。结果确凿地表明，球囊扩张优于手动扩张。
