在婴儿和儿童的良性食道狭窄的布吉和气球扩张之间的比较
Yin Zhang1, Xinwei Han2, Yonghua Bi2
1Department of Radiology, The Third People's Hospital of Yichang, Yichang, Hubei, China.
American journal of otolaryngology
|July 30, 2025
概括
布吉和气球扩张对于治疗儿童良性食道狭窄症 (BES) 是安全有效的. 这两种方法都提供了显著的症状缓解和高的成功率,并发症最小.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 胃肠内镜检查 胃肠内镜检查
- 食道疾病 食道疾病
背景情况:
- 食道扩张的临床结果主要来自成人研究.
- 患有良性食道狭窄症 (BES) 的儿科患者可能对扩张有不同的反应.
研究的目的:
- 为了比较布吉与气球扩张在婴儿和儿童中BES的安全性和有效性.
- 评估两种扩张方法的临床结果,并发症和技术成功率.
主要方法:
- 对37名经过扩张的BES儿科患者 (2013-2024) 的医疗记录的回顾性审查.
- 19名患者接受了布吉扩张器 (A组),18名患者接受了气球扩张器 (B组).
- 分析了病因,收缩特征,扩张方法,并发症和结果.
主要成果:
- 风扇和气球扩张都实现了高的技术成功率 (分别为99.2%和98.9%).
- 大多数患者观察到狭窄直径的显著改善和失症的缓解.
- 没有与手术相关的死亡率或重大并发症发生;轻度出血是最常见的问题.
结论:
- 布吉和气球扩展器是安全的,有效的,并且在儿科患者治疗BES时耐受良好.
- 建议进行进一步的随机前性研究来证实这些发现.
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