目的总结应用食管内支架治疗中、晚期食管狭窄和食管气管瘘的经验。方法对54例中、晚期食管癌重度狭窄和食管气管瘘病例采取胃镜直视下置入食管内支架治疗。结果疗效显著,未出现严重并发症。结论胃镜直视下置入带膜支架治疗食管狭窄和食管气管瘘是较为理想,操作简捷的方法。 Objective To summarize the experience of esophageal stent in the treatment of advanced esophageal stenosis and esophageal tracheal fistula. Methods 54 cases of advanced esophageal cancer with severe stenosis and esophageal tracheal fistula cases were treated with endoscopic esophageal stent placement. The results of significant effect, no serious complications. Conclusion Endoscopic placement of stents with stents for the treatment of esophageal strictures and esophageal fistulas is an ideal and easy-to-use method.