【摘要】 目的 探讨内镜下水囊扩张治疗十二指肠溃疡瘢痕性狭窄的临床疗效。 方法 内镜直视下应用Rigiflex TTS水囊扩张治疗十二指肠溃疡瘢痕性狭窄22例，幽门螺杆菌阳性均予根除，抗溃疡病药物治疗2个月，维持治疗16个月。 结果 扩张后胃镜均能通过狭窄进入十二指肠降部，临床症状缓解，随访6、12、18、24、30个月，症状缓解率分别为100%、95%、92.9%、91.7%、90%。扩张术后未坚持正规抗溃疡治疗复发率50%(2/4)，明显高于坚持溃疡病治疗者的12.5%(1/8)。 结论 内镜下水囊扩张治疗十二指肠溃疡瘢痕性狭窄是一种简便、安全、有效的方法。

    关键词 十二指肠狭窄 水囊扩张

    Treating stenosis of duodenal ulcer by endoscopic water-balloon dilation

    Chen Zhe，Zou Youbao

    Department of Gastroenterology，Qinzhou First People's Hospital，Qinzhou535000.

    【Abstract】 Objective To investigate the therapeutic effect on the stenosis of duodenal ulcer by endoscopic water-balloon dilation.Methods Twenty-two patients with stenosis of duodenal ulcer were accepted the endoscop-ic dilation by using Rigiflex TTS water-balloon，the Helicobacter pylori have been eradicated in all patients，and all patients have accepted the treatment of anti-ulcer drug for2months and insisted for16months.Results After dila-tion treatment ......