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目的:采用内支架置入的方法姑息性治疗食管恶性狭窄及食管支气管瘘。方法:12例食管癌所致食管狭窄患者,经口置入带膜自膨式金属支架14枚。结果:12例内支架置入后吞咽功能明显改善,2例合并食管支气管瘘的患者瘘口消失。随访2～6个月,除1例于1周时因消化道大出血死亡外其余均未出现再狭窄。结论:食管内支架置入术简单、安全,近期疗效明显,无严重并发症,是食管癌性狭窄和食管瘘的一种良好姑息性治疗方法。
OBJECTIVE: To treat patients with malignant esophageal stenosis and esophageal bronchial fistula by internal stent placement. Methods: Twelve patients with esophageal stricture caused by esophageal cancer were treated with 14 self-expanding metal stents. Results: The swallowing function of 12 cases after stenting was significantly improved, and the fistula of 2 patients with esophageal bronchial fistula disappeared. All the patients were followed up for 2 to 6 months. There was no restenosis except 1 case died of gastrointestinal bleeding at 1 week. Conclusions: Stenting of esophageal stents is simple and safe, with obvious curative effect in the near future and no serious complication. It is a good palliative treatment for esophageal stenosis and esophageal fistula.