用多次扩张管理的食道癌的内镜下粘膜剖析后耐性食道狭窄症:一个病例报告
Shu-Hui Yang1,2, Hong-Fei Ren2,3, Xia Chen2,4
1Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
World journal of gastrointestinal oncology
|November 24, 2025
概括
一种多学科的方法和自助气球扩张显著改善了患有复发性食道狭窄症的患者的生活质量,减少了食障碍和医院再入院.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 手术护理 医疗护理
背景情况:
- 消化管癌是中国癌症死亡的主要原因,消化障碍是主要症状.
- 手术后复发性食道狭窄影响30%-40%的患者,降低了生活质量.
- 自扩张为预防食道扩张和减少狭窄症复发提供了一种由患者管理的方法.
研究的目的:
- 评估多学科管理团队和自我帮助气球扩张在患有复发性食道狭窄症的患者的有效性.
- 评估患者满意度,生活质量和临床结果的改善.
主要方法:
- 一名61岁的男性患者患有复发性食道狭窄,经历了反复的扩张.
- 一个多学科团队实施了基于证据的自助气球扩张和过渡性护理.
- 护理问题,并发症和出院后的护理被主动管理.
主要成果:
- 患者在住院期间报告了高度满意度.
- 六个月的随访显示生活质量有所改善,食障碍减少.
- 食道狭窄从5毫米扩大到6毫米,延长再接收间隔和增加体重.
结论:
- 多学科病例管理与自助气球扩张相结合,提高了患者的满意度和生活质量.
- 积极管理护理问题和个性化延长护理对于改善结果至关重要.
- 这些策略为管理复发性食道狭窄症提供了实际指导.
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