手术讲解模板：食管扩张术课件

食管扩张术Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL食管扩张术1手术资料:食管扩张术食管扩张术科室:消化内科部位:食管麻醉:局部麻醉Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术2手术资料:食管扩张术概述食管扩张术主要用于食管狭窄和食管失弛缓症。早在1674年,英国人willis就描述用鲸骨制成探条扩张狭窄的食管,使症状得以缓解。先有各种形式的扩张探条,如不带导丝的Hurst探条、Maloney探条,带导丝的Ede-pltest。ow扩张器、Savary-allard或(2eValadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术3手术资料:食管扩张术概述esl,in扩张器。自1981年London等在X线下将带导丝的球囊扩张器治疗食管狭窄获得明显效果以来,随后又有多种经内镜下扩张食管狭窄的球囊扩张器(不带导丝),如RegiflexTTS型球囊导管扩张器。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术4手术资料:食管扩张术适应证1.食管化学烧伤后狭窄、反流性食管炎致消化性狭窄、手术后吻合口狭窄、先天性狭窄(食管蹼)等器质性狭窄。以狭窄程度较轻,范围较局限者为宜。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术5手术资料:食管扩张术适应证2.环咽段失弛缓症、贲门失弛缓症、弥漫性食管痉挛(DEs)等功能性狭窄。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术6手术资料:食管扩张术适应证3.食道癌放疗后狭窄,晚期食道癌或治疗后复发患者食管支架置人术前。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术7手术资料:食管扩张术手术禁忌食管炎患者不适宜行此手术。因食管炎时粘膜炎性变后,组织脆,易被撕裂造成穿孔,故在有食管炎时多采用内科控制炎症后再行此手术方更安全。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术8手术资料:食管扩张术手术禁忌狭窄程度严重,范围广泛者,有条件时,可请外科会诊,考虑肠段代食管手术,以改善进食情况Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术9手术资料:食管扩张术手术禁忌已知或怀疑有食管穿孔时应慎重。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术10手术讲解模板：食管扩张术课件11手术讲解模板：食管扩张术课件12手术讲解模板：食管扩张术课件13手术讲解模板：食管扩张术课件14手术讲解模板：食管扩张术课件15手术讲解模板：食管扩张术课件16手术讲解模板：食管扩张术课件17手术讲解模板：食管扩张术课件18手术讲解模板：食管扩张术课件19手术讲解模板：食管扩张术课件20手术讲解模板：食管扩张术课件21手术讲解模板：食管扩张术课件22手术讲解模板：食管扩张术课件23手术讲解模板：食管扩张术课件24手术讲解模板：食管扩张术课件25手术讲解模板：食管扩张术课件26手术讲解模板：食管扩张术课件27手术讲解模板：食管扩张术课件28手术讲解模板：食管扩张术课件29手术讲解模板：食管扩张术课件30手术讲解模板：食管扩张术课件31食管扩张术Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL食管扩张术32手术资料:食管扩张术食管扩张术科室:消化内科部位:食管麻醉:局部麻醉Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术33手术资料:食管扩张术概述食管扩张术主要用于食管狭窄和食管失弛缓症。早在1674年,英国人willis就描述用鲸骨制成探条扩张狭窄的食管,使症状得以缓解。先有各种形式的扩张探条,如不带导丝的Hurst探条、Maloney探条,带导丝的Ede-pltest。ow扩张器、Savary-allard或(2eValadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术34手术资料:食管扩张术概述esl,in扩张器。自1981年London等在X线下将带导丝的球囊扩张器治疗食管狭窄获得明显效果以来,随后又有多种经内镜下扩张食管狭窄的球囊扩张器(不带导丝),如RegiflexTTS型球囊导管扩张器。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术35手术资料:食管扩张术适应证1.食管化学烧伤后狭窄、反流性食管炎致消化性狭窄、手术后吻合口狭窄、先天性狭窄(食管蹼)等器质性狭窄。以狭窄程度较轻,范围较局限者为宜。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术36手术资料:食管扩张术适应证2.环咽段失弛缓症、贲门失弛缓症、弥漫性食管痉挛(DEs)等功能性狭窄。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术37手术资料:食管扩张术适应证3.食道癌放疗后狭窄,晚期食道癌或治疗后复发患者食管支架置人术前。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术38手术资料:食管扩张术手术禁忌食管炎患者不适宜行此手术。因食管炎时粘膜炎性变后,组织脆,易被撕裂造成穿孔,故在有食管炎时多采用内科控制炎症后再行此手术方更安全。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术39手术资料:食管扩张术手术禁忌狭窄程度严重,范围广泛者,有条件时,可请外科会诊,考虑肠段代食管手术,以改善进食情况Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术40手术资料:食管扩张术手术禁忌已知或怀疑有食管穿孔时应慎重。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL手术资料:食管扩张术41手术讲解模板：食管扩张术课件42手术讲解模板：食管扩张术课件43手术讲解模板：食管扩张术课件44手术讲解模板：食管扩张术课件45手术讲解模板：食管扩张术课件46手术讲解模板：食管扩张术课件