摘要
目的 评价食管金属支架在改善晚期食管癌病人生活质量的作用。方法 采用内镜法、直接法或手术法为晚期食管癌、食管癌术后吻合口复发及食管 气管瘘病人 4 2例置入 4 3个支架。采用Neuhaus分级法评价患者吞咽困难改善情况 ,VRS疼痛分级法观察置入后疼痛。结果 大多数病人吞咽困难改善 1～ 2级 (P <0 0 5 ) ,梗阻症状立即解除 ,瘘口封闭。 83 3%病人诉胸痛 ,6 6 7%诉恶心、呕吐、反酸及流涎等 ,但绝大多数经对症处理数日内缓解。结论 食管带膜支架置入术操作简单 ,安全可靠 ,改善患者进食状况 。
Objective To evaluate therapeutic effect of membrane covered self expanding metallic stent for advanced esophageal carcinoma.Methods Fourty three membrane covered self expandable stents were implanted in 42 patients with advanced esophageal carcinoma or/and esophagotracheal fistula.The implantation of the stents was performed under endoscopy?oral implantation or surgery.Results The degree of dysphagia was reduced for most patients( P <0 05).Quality of life for the patients nas improved obviously and low morbidity.Conclusion Membrane covered self expanding metallic stent is effective,safe and easy to insert.Especially for the stricture of the advanced esophageal carcinoma and the esophagotracheal fistula patients.
出处
《重庆医学》
CAS
CSCD
2003年第5期570-571,共2页
Chongqing medicine
关键词
食管肿瘤
食管-气管瘘
支架
esophageal neoplasms
esophagotracheal fistula
stent
