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作者等运用放射性核素的方法对8例手术涉及食管的患者进行了胃食管返流方面的研究,与此同时,对34例食管狭窄的患考进行了72次探条扩张术的治疗。为了减少因探条扩张引起的损伤,10例患者在扩张期间在食管狭窄周围注射Hydroprednisone。24例患者于扩张后至少4周进一步给予抗返流治疗(H_2RA或Losec,加用或不加用Domperidone)。结果:(1) 8例手术后患者行放射性核素检查发现有明显胃食管返流。(2)65%的食管狭窄与手术有关,狭窄部位位于食管上段7例,中段12例,下段15例,3
The authors used radionuclide methods to study the gastroesophageal reflux in eight patients with esophageal surgery, and in the mean time, performed 72 probe dilations on 34 patients with esophageal stenosis. In order to reduce the damage caused by the expansion of the probe, 10 patients were injected with Hydroprednisone around the esophageal stenosis during dilation. Twenty-four patients were further given anti-reflux therapy (H 2 RA or Losec with or without Domperidone) at least 4 weeks after dilatation. Results: (1) 8 cases of postoperative patients with radionuclide radionuclide examination showed obvious gastroesophageal reflux. (2) 65% of the esophageal stenosis is related to surgery. The stenosis is located in the upper esophagus in 7 cases, in the middle section in 12 cases, in the lower section in 15 cases, and in the lower section 3