摘要
目的评价记忆合金内支架治疗食管及贲门部良恶性狭窄的效果。方法按常规胃镜检查操作，经引导钢丝予软管扩张器对狭窄部位先施扩张术，再经胃镜及Ｘ线对狭窄段行双重定位。后置入金属内支架（Ｓｔｅｎｔ），１０例共置入支架１２枚。结果内支架置入全部成功，术后患者狭窄全部得到改善，但贲门失弛缓患者出现了严重反流性食管炎。结论记忆合金内支架是治疗食管及贲门部恶性狭窄的有效的非手术方法，可明显改善患者的生存质量。而良性狭窄患者，似应以暂时性内支架置入术为好。
Objective To evaluate the effect of memory alloy stent in the treatment of benign and malignant stricture of esophagus and cardia.Methods According the direction of leading steel wires the strictures were first expanded by soft expander. The localization were performed binary by endoscopic and radiological methods. 12 alloy stents were inplanted in the esophaqus and cardia in 10 patients. Results All stents were successfully inplanted. Patients could swallow more easily after the operations. But a patient with achalasia of the cardia had taken place evident reflux esophagitis. Conclusions The results suggest that shape memory alloy stent prosthesis is an effective method to treat malignant stricture in esophagus and cardia, and could improved the patients life quality significantly. However, for the benign stricture temporary stent inplantation may be more favourable.
出处
《江西医药》
CAS
1999年第2期78-79,共2页
Jiangxi Medical Journal
关键词
食管和贲门
狭窄
记忆合金支架
介入放射学
Esophagus and cardia Stricture Memory Alloy stent Interventional radiology
