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目的：探讨经内镜放置覆膜金属支架治疗晚期食管癌的临床价值。方法：对2003年6月～2006年6月在X线辅助下经内镜放置覆膜金属支架治疗的106例晚期食管癌患者的临床资料进行回顾性分析。结果：106例患者放置支架122例次,操作成功率100%。食管支架置入后能有效缓解患者进食困难症状,2周后进食困难分级评分平均从由3．17级降至1．01级；11例食管气管瘘术后均能完全堵塞食管瘘口,封堵率100%；术后平均生存期8．2个月。结论：经内镜放置覆膜金属支架操作简单、经济、安全,是姑息性治疗晚期食管癌的一种有效方法。
Objective: To investigate the clinical value of endoscopic stent placement of metal stent in the treatment of advanced esophageal cancer. Methods: The clinical data of 106 patients with advanced esophageal cancer treated with endoscopic stent placement of metal stent under X-ray assisted surgery from June 2003 to June 2006 were analyzed retrospectively. Results: There were 122 cases of stent placement in 106 patients, the success rate of operation was 100%. Esophageal stent placement can effectively alleviate the symptoms of eating difficulties in patients after 2 weeks of eating difficulty classification average decreased from 3.17 to 1.01; 11 cases of esophageal fistula can completely block the esophageal fistula after surgery, sealing Plug rate of 100%; postoperative average survival of 8.2 months. Conclusion: The endoscopic stent placement of metal stent is simple, economical and safe, and is an effective palliative treatment of advanced esophageal cancer.