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目的 了解国产带膜金属内支架 (MES)植入食管内治疗食管癌性狭窄的疗效。方法 在X线透视下 ,对 6 4例晚期食管癌性狭窄、3例食管癌术后吻合口癌肿复发性狭窄患者 ,经口将 6 9只国产带膜MES植入食管癌性狭窄处。结果 6 3例MES一次植入到位 ,4例植入失败 ;4例MES植入后移位 ,3例MES阻塞第 2次植入。MES植入后全部病例吞咽困难立即改善在 0～ 1级。结论 MES植入术是癌性食管狭窄最安全有效的姑息性治疗手段
Objective To investigate the efficacy of intra-esophageal esophageal stenting (MES) in the treatment of esophageal cancer stenosis. METHODS: Under fluoroscopy, 64 patients with advanced esophageal cancer stenosis and 3 patients with recurrent stenosis of anastomotic cancer following surgery for esophageal cancer were treated with oral MES by local orona- tion. RESULTS: Sixty-three patients were implanted in MES at one time, 4 failed to implant; 4 patients were displaced after MES implantation, and 3 patients had MES occlusion and 2nd implantation. Dysphagia in all cases after MES implantation was immediately improved from 0 to 1. Conclusion MES implantation is the safest and most effective palliative treatment for cancerous esophageal stenosis