在透视下对52例食管癌贲门癌出现狭窄及溃疡并发症的患者行54次带喇叭口覆膜金属支架置入治疗,置入后第1天、第7天、1个月、3个月、6个月时行钡餐造影随访,观察支架置入的效果、不良反应、并发症、生存质量及生存期。发现治疗后狭窄、瘘、疼痛等症状改善快、短期内无复发现象,少数患者有术后数天的局部疼痛及少量出血,对症治疗可缓解,长期有出现再狭窄问题。表明支架置入是一种提高食管癌贲门癌患者生存质量、经济有效、并发症少的方法,并可再行放疗或化疗。 Fifty-two patients with stenosis and ulcer complications of esophageal and cardiac cancer underwent fluoroscopy with 54 stented metal stents placed on the first, seventh, one, and three months after implantation. After 6 months of barium meal angiography, the stenting effect, adverse reactions, complications, quality of life, and survival time were observed. It was found that after treatment, symptoms such as stenosis, spasm and pain improved quickly and there was no recurrence in the short term. A few patients had localized pain and a small amount of bleeding after several days of operation. Symptomatic treatment could be alleviated, and restenosis was a problem for a long time. It shows that stenting is a method to improve the quality of life, economical efficiency, and less complications in patients with esophageal and cardiac cancer, and can be treated with radiotherapy or chemotherapy.