论文部分内容阅读
目的：用食管内支架治疗恶性食管狭窄．方法：对8例食管癌患者分别置放WALLSTENT，STRECKERSTENT及Z-STENT，共10个支架．先用导丝探索通过狭窄段，经球囊扩张后置放支架．结果：8例患者造影显示5例患者食管完全梗阻，3例患者严重狭窄．所有患者均一次顺利完成支架置放．3例分别随访1a，2例分别随访8mo及6mo．患者进普食顺利，疗效满意．2例0．5a后又出现吞咽困难．造影显示原支架上下两端又出现狭窄经第2次置放支架后进食顺利，疗效满意．结论：食管内支架治疗恶性食管狭窄，安全，可靠，疗效好，并发症少．
3. Objective : To treat malignant esophageal stenosis with esophageal stent. METHODS: WALLSTENT, STRECKERSTENT, and Z-STENT were placed in 8 patients with esophageal cancer. A total of 10 stents were used. First use the guide wire to explore through the narrow segment, put the stent after balloon expansion. 3. Results: Eight patients showed complete esophageal obstruction in 5 patients and severe stenosis in 3 patients. All patients successfully completed stent placement. 3 cases were followed up for 1 year and 2 cases were followed up for 8 months and 6 months respectively. The patient’s food intake was smooth and the results were satisfactory. 2. Dysphagia occurred after 0.5a in 2 cases. The angiography showed that the stenosis of the upper and lower ends of the original stent was successfully performed after the second stent placement, and the result was satisfactory. Conclusion: Esophageal stenting is a safe, reliable and effective treatment for malignant esophageal stenosis with less complications.