手术讲解模板食管扩张术课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,食管扩张术,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,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,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,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(2e,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,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。,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,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。,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,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。,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,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。,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,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。,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,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,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,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。,Valadon onry.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,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,