摘要
目的 :评价金属内支架对各种原因引起的食管狭窄及合并食管瘘的治疗效果。方法 :采用镍钛记忆合金支架与不锈钢自膨式“Z”型支架治疗食管狭窄 30例 ;其中合并食管气管瘘 10例、食管纵隔瘘 2例。支架置入在X线电视监测下进行。结果 :所有支架置入均获成功 ,患者进食困难症状得到改善 ,合并食管瘘的瘘口完全封闭 ,临床症状缓解。随访 1～ 12个月 ,2例支架移位、1例良性狭窄 1个月后复发 ,其余保持支架通畅。结论 :应用金属内支架治疗食管狭窄及食管瘘 ,是一种安全。
Objective:To evaluate the metallic stent implantation in treatment of esophageal stricture and complicated fistula due to various causes.Methods:Of 30 cases collected in the study,10 were complicated esophago tracheal fistula and 2 esophago mediastinal fistula,Ni Ti heat memory binary alloy stents and stainless steel self expanding “Z” stents were used in the treatment of esophageal stricture and complicated fistula.All patients were treated by means of peroral intubation of the stent under fluoroscopic guidance.Results:All stents were successfully placed without technical failure.Clinical symptoms of aspiration were relieved in the all cases,resulting in complete closing of the fistula.Food intake ability of all patients was improved.Patients were followed up 1～12 months.Stent slipping was seen in 2 cases,and recurrent stenosis in 1.Conclusions:The results show that stenting is a simple,safe and effective method for the treatment of esophageal strictures and fistulae . [
出处
《蚌埠医学院学报》
CAS
2000年第6期458-459,共2页
Journal of Bengbu Medical College
