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[目的]探讨食管恶性狭窄患者~(~(125))I支架置入食管位置不同,术后并发症的发生情况。[方法]选取诊断为食管癌患者102例,其中肿瘤口侧缘距离门齿约25cm以上43例(A组),距离25cm以下59例(B组),回顾性分析其接受~(~(125))I粒子支架置入术后生存期超过1年的患者,随访术后1、3、6、12个月的上消化道出血、反流性食管炎、支架移位、胸痛、白细胞减少、支架再狭窄和食管气管瘘并发症发生情况。[结果]102例均一次性成功置入。2组~(125)I支架置入术后患者均可明显改善其吞咽功能,但均有不同程度咽喉部及胸部不适感。在随访时间点,上消化道出血、反流性食管炎、支架移位并发症发生率,B组较A组高,差异有统计学意义(P<0.01);而胸痛、白细胞减少、支架再狭窄、食管气管瘘等,2组比较差异无统计学意义(P>0.05)。[结论]~(125)I支架治疗食管恶性狭窄是一种安全、可靠的方法。中下段食管置入~(125)I支架后上消化道出血、反流性食管炎、支架移位并发症发生较中上段高,针对性治疗可得到有效控制。
[Objective] To investigate the incidence of postoperative complications in ~ (~ (125)) I stent placed in the esophagus with malignant esophageal stenosis. [Methods] A total of 102 patients with esophageal cancer were selected. Among them, 43 patients (group A) with a margin of more than 25cm from the incision on the side of the tumor and 59 patients below 25cm (group B) ) Patients with I-particle stents with a survival of over 1 year after surgery were followed up for upper gastrointestinal bleeding, reflux esophagitis, stenting, chest pain, leucopenia, stents Restenosis and esophageal tracheal fistula complications. [Results] 102 cases were successfully placed in one time. 2 groups of ~ (125) I stent implantation patients can significantly improve their swallowing function, but there are varying degrees of throat and chest discomfort. At the time of follow-up, the incidence of upper gastrointestinal bleeding, reflux esophagitis and stenting displacement were significantly higher in group B than in group A (P <0.01), while chest pain, leukopenia, Stenosis, esophageal tracheal fistula, the difference between the two groups was not statistically significant (P> 0.05). [Conclusion] ~ (125) I stent is a safe and reliable method for the treatment of malignant esophageal stenosis. In the middle and lower esophagus into the (125) I stent after upper gastrointestinal bleeding, reflux esophagitis, stent displacement complications occurred in the upper and higher, the targeted treatment can be effectively controlled.