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目的:评价食管金属内支架临床应用效果。对象与方法:37例病人其中12例食管-胃吻合口狭窄,8例食管癌致食管气管瘘,6例食管癌放疗后狭窄,5例食管癌性狭窄,2例食管癌术后吻合口复发,以及4例贲门失弛缓症,在透视下(24例)或纤维内窥镜下(13例)被置放了国产食管金属内支架。结果:置放食管金属内支架后,全部病人食道梗阻症状均较原来有某种程度的缓解,其中,17例能进普食,15例能进半流食,只有5例需用流食。除1例于术后1周死于并发腹腔内感染外,其余36例于术后6至9个月复查表明,30例一直保持良好状况,仅有6例因食管癌进展或术后吻合口复发而致食管再度出现狭窄,然而经气囊导管再次扩张后,狭窄得以迅速缓解。结论:食管-胃吻合口狭窄,食管癌放疗后狭窄,以及贲门失弛缓症是采用食管金属内支架的最佳适应症。
Objective: To evaluate the clinical effect of esophageal stent. PARTICIPANTS AND METHODS: Thirty-seven patients had esophageal-gastric anastomotic stenosis, 8 esophageal cancer esophageal tracheal fistulas, 6 esophageal cancer stenosis patients, 5 esophageal cancer stenosis and 2 esophageal cancer anastomotic recurrences , And 4 cases of achalasia were placed in the fluoroscopic (24 cases) or fibroscope (13 cases) were placed within the stent made of esophageal metal. Results: After esophageal stent placement, the symptoms of esophageal obstruction in all patients were relieved to some extent. Among them, 17 cases were able to enter the general diet, 15 cases could enter the semi-liquid diet, and only 5 cases needed the liquid food. Except one case died of intraperitoneal infection one week after operation, the remaining 36 cases were examined at 6 to 9 months after operation. Thirty cases remained in good condition only for 6 cases, with progression of esophageal cancer or anastomotic stoma Recurrence and esophageal re-stenosis, however, after balloon catheter expansion again, the stenosis can be quickly relieved. Conclusion: Esophageal-gastric anastomotic stenosis, esophageal cancer after radiotherapy stenosis, and achalasia is the best indication for the use of esophageal metal stent.