| 冯永健 葛明健 郑佳 杨宁 左小平.Savary-Gilliard 扩张器扩张和电化学治疗食管癌术后吻合口 狭窄的
临床研究[J].,2015,15(2):261-264 |
| Savary-Gilliard 扩张器扩张和电化学治疗食管癌术后吻合口 狭窄的
临床研究 |
| Clinical Research of Savary-Gilliard Dilator and Electrochemical in theTreatment of Anastomotic Stricture after Esophageal Cancer Operation |
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| DOI： |
| 中文关键词: 食管癌术后吻合口狭窄 Savary-Gilliard 扩张器扩张疗法 电化学治疗 临床应用 价值 |
| 英文关键词: Esophageal anastomotics tricture Savary-Gilliard dilator therapy Electrochemical treatment Clinical value |
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| 中文摘要: |
| 目的： 探讨 Savary-Gilliard 扩张器扩张和电化学治疗食管癌术后吻合口 狭窄的临床应用 价值。 方法： 选择 2010 年 1 月 -2011
年 1 月 本院收治的 76 例 食管癌术后吻合口 狭窄 的患者，采用 随机数字表法将其分为 观察组和对照组各 38 例， 观察组应用
Savary-Gilliard 扩张器扩张治疗 ， 对照组采用 电化学治疗 方法， 对所有患者进行 3 年的随访， 对比两组临床治疗效果、安全性及并
发症发生情况。 结果： 观察组总有效率为 94.7%显著优于对照组的 84.2%，差异有统计学意义（ P<0.05）； 观察组并发症发生率为
0%显著低于对照组 13.2%，差异有统计学意义 （ P<0.05）； 随访 3 年， 两组生存率比较差异无统计学意义 （ P>0.05）。 结论：
Savary-Gilliard 扩张器扩张治疗较电化学治疗食管癌术后吻合口 狭窄效果好、安全性高、并发症发生率较低， 值得在临床推广。 |
| 英文摘要: |
| Objective:To investigate the value of the clinical application of Savary-Gilliard dilator and electrochemical therapy in
the treatment of anastomotic stricture after operation of esophageal cancer.Methods:76 cases of patients with esophageal anastomotic
after esophageal cancer operation chosen from January 2010 to January 201 1 in our hospital using random digits table were divided into
the observation group, which were given Savary-Gilliard dilator therapy, and the control group which were treated with electrochemical
therapy, and 30 cases were in each group. All patients were followed up for three years, and the clinical outcomes, safety and
complications of the two groups were compared.Results:The total effective rate of observation group was 94.7%, significantly higher
than that (84.2% )in the control group, and the difference was statistically significant (P<0.05); complication rate of observation group
was 0%, significantly lower than in the control group (13.2%), and the difference was statistically significant (P<0.05); According to three
years of follow-up, the difference in survival rate between the two groups was not statistically significant (P>0.05).Conclusion:Savary-Gilliard dilator therapy, with safety and low rate of complications, presents better effect than the electrochemical therapy in
treatment of esophageal anastomotic stricturehas, so it is worth clinical promotion. |
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