摘要
目的：介绍经胃镜放置自膨式食管支架的方法、个人体会以及常见并发症的预防和处理。方法：１９９６年６月－１９９８年６月作者使用国产自膨式食管支架，对１０６例食管良恶性疾病所致的食管梗阻及食管，气管瘘进行治疗。结果：１０６例中包括恶性疾病７１例：食管癌４２例（其中并发食管，气管瘘者３例），贲门癌１４例，食管、贲门癌术后吻合口复发１１例，食管癌放疗后复发４例。均达到了改善进食，提高生活质量的姑息治疗目的。良性疾病３５例：食管－胃吻合口狭窄２８例，返流性食管炎所致食管狭窄１例，化学灼伤致食管狭窄１例，放疗后食管狭窄４例，食管憩室穿孔致食管左主支气管瘘１例，均获满意的治疗效果。结论：自膨式食管支架的放置操作简单，所需设备不多，疗效可靠，安全。且国产支架价格低廉，故作者认为是一项值得推广的技术。
Objective: Introducing the usage of placing a stent by way of endoscopy in the treat-ment of esophageal stenosis. Methods: One hundred and six benign and malignant esophageal stenosisand esophagotracheal fistula were treated by Ni-Ti self - expanding stent since June 1996 to June1998. Results: Of the 106 cases there were 71 malignant lesions including 42 esophageal cancers 3 ofwhich complicated with tracheo - esophageal fistula, 14 cardiac cancers, 11 anastomotic recurrence afteresophagectomy and 4 esophageal cancer recurrence after radiotherapy. The symptoms and life qualitywere improved in all these patients. Thirty - five benign lesions including 28 anstomotic stenosis, 1 steno-sis caused by reflux esophagitis, 1 stenosis resulted from chemical bums, 4 postradiotherapeutic cicatri-cial stenosis and 1 broncho - esophageal fistula caused by perforated esophageal diverticulum were allcured. Conclusion: The self - expanding stent placement is a simple, safe and cheap method for treatingesophageal stenosis of any cause.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1999年第4期245-247,共3页
Chinese Journal of Clinical Oncology
关键词
自膨式支架
贲门癌
食管肿瘤
食管疾病
Self-expanding stent Esophageal cancer Cardiac cancer Benign lesion
