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目的：分析内支架置入术治疗食管良恶性狭窄的并发症并提出防治方法。方法：本组５８例，其中食管化学 烧伤后狭窄２例，食管－胃吻合口狭窄１１例，食管癌３７例，胃贲门癌８例。支架置入在Ｘ线电视监视下进行。术后给予抗 生素、止血药及镇静止痛药，２３例食管癌患者术后行放疗、化疗。结果：１例内支架异位留置，遂加置一根支架，其余５７例 支架均一次置入成功。术后胸骨后疼病２１例，大出血１例。随访１～６个月，食物嵌顿１例，支架移位１例。结论：食管内 支架置入术后以胸骨后疼痛为常见并发症，严重并发症少见。术前准确定位，术中精细操作，术后积极配合其它治疗，是 减少并发症提高手术成功率的关键。
Objective: To analyze the complication of stent placement in the treatment of benign and malignant esophageal stenosis and to propose the prevention and treatment methods. Methods: The group of 58 patients, including 2 cases of stenosis after esophageal chemical burn, esophageal-gastric anastomotic stenosis in 11 cases, 37 cases of esophageal cancer, gastric cardia cancer in 8 cases. Bracket placement under X-ray television monitoring. Postoperative antibiotics, hemostatic agents and sedation painkillers, 23 patients with esophageal cancer after radiotherapy and chemotherapy. Results: In one case, the stent was placed in a heterotopic position and a stent was placed. The remaining 57 cases were successfully placed in one stent. Postoperative sternal pain in 21 cases, 1 case of bleeding. Follow-up 1 to 6 months, food incarceration in 1 case, stent displacement in 1 case. Conclusion: Post-sternal pain is a common complication after esophageal stent implantation, with rare complications. Precise preoperative positioning, fine operation, postoperative and actively cooperate with other treatment is to reduce complications and improve the success rate of the key to surgery.