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題名 | 淺談放射線食道擴張術對腐蝕性食道狹窄之治療=Balloon Dilatation in Managing Corrosive Injury of the Esophagus |
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作者 | 黃瓊滿; 鄭碩仁; 吳淑萍; 鄭旭萌; 郭伯舒; Hwang, Chon-mon; Cheng, Sho-jen; |
期刊 | 中華放射線技術學雜誌 |
出版日期 | 19970400 |
卷期 | 21:1 1997.04[民86.04] |
頁次 | 頁12-19 |
分類號 | 415.51 |
語文 | chi |
關鍵詞 | 氣球導管擴張術; 食道狹窄; |
中文摘要 | 介入性放射線學近年來發展迅速,特別在利用導管置入體內,到狹窄之管道內,藉由氣球擴張 (Balloon Dilatation) 或金屬網支撐擴張 (metallic stent) 使其狹窄處擴張,如血管擴張術 (Balloon Angioplasty)、膽道擴張術 (Biliary Stenting) 和食道擴張術(Esophageal Dilatation)等。對食道狹窄的治療方法有:手術治療ゝ探修擴張術(Bougienage)氣球導管擴張術(Balloon catheter dilatatio) 。腐蝕性食道狹窄(Corrosive esophageal strictrue) 之患者, 因其傷害之嚴重度不同,且其結疤 (scar)為永久持續性形成,患者不適時需回診重覆治療。本院放射科對Corrosive esophageal stricture之治療首先以氣球導管擴張術(Ballon catheter dilatation)為主。它介由氣球導管在透視下經鼻放入狹窄處,再用氣球作一橫向的擴張術為最近所採用的方式。食道狹窄造成患者吞嚥困難不易進食,影響生活品質。食道擴張術中氣球導管擴張術(Balloon catheter dilatation)是很好的治療方式,患者可在意識清醒下操作,免除開刀之危險與恐懼,比其它方法安全、有效率、低危險性、低死亡率和最少併發症發生。其治療時間、次數,依嚴重度來決定。本文探討其治療過程和注意事項。 |
英文摘要 | There are great advances in conventional radiology. Several new catheterization techniques are been developed to dilate stenotic lumens, such as balloon angioplasty, biliary stenting and balloon dilatation of esophagus, etc. The therapeutic methods for esophageal stenosis are: 1.Surgical procedure 2.Bougienage 3.Balloon dilation catheter. Due to various degree of injury, persistent nature of post-traumatic scars and exacerbation of clinical symptoms, patients with corrosive esophageal stricture should visit the hospital for repeated course of dilatation. In this article we discuss the utilization of balloon dilatation catheter to dilate esophageal stenosis caused by corrosive injury and subsequent scarring. Esophageal stenosis may cause swallowing difficulty, life quality of the patient thus deteriorates. Balloon dilatation of the esophagus is a good therapeutic method, because patient retain consciousness during the procedure and operational risks and fear are avoided. The time used in each therapy and courses of therapy are decided by the severity of stenosis. This article discuss the therapeutic procedure and important key points in detail. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。