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直肠狭窄的内镜扩张术:18例前瞻性研究

Endoscopic dilation of rectal strictures: a prospective study of 18 cases.

作者信息

Johansson C

机构信息

Department of Surgery, Karolinska Institutet, Danderyd Hospital, Sweden.

出版信息

Dis Colon Rectum. 1996 Apr;39(4):423-8. doi: 10.1007/BF02054058.

DOI:10.1007/BF02054058
PMID:8878503
Abstract

PURPOSE

This study was performed to prospectively evaluate results of endoscopic balloon dilation of strictures of the rectum.

METHODS

Eighteen patients with symptoms of rectal strictures at endoscopy or barium enema were treated on 49 occasions with balloon dilation during sigmoidoscopy.

RESULTS

Twelve patients were completely satisfied with relief of their symptoms after treatment. Two patients considered the results as poor, and four patients were not subject to follow-up evaluation. One patient had a perforation during the dilation procedure but was completely relieved at follow-up examination.

CONCLUSIONS

Endoscopic balloon dilation of strictures in the rectum is a safe method. The method is simple and can be performed on an outpatient basis. The technique shows good results even in narrow strictures.

摘要

目的

本研究旨在前瞻性评估直肠狭窄内镜下球囊扩张的结果。

方法

18例在内镜检查或钡灌肠时出现直肠狭窄症状的患者,在乙状结肠镜检查期间接受了49次球囊扩张治疗。

结果

12例患者治疗后对症状缓解完全满意。2例患者认为效果不佳,4例患者未接受随访评估。1例患者在扩张过程中发生穿孔,但在随访检查时完全缓解。

结论

直肠狭窄的内镜下球囊扩张是一种安全的方法。该方法简单,可在门诊进行。即使在狭窄较严重的情况下,该技术也显示出良好的效果。

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