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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、有效的方法
Objective: To evaluate the effect of metal stents on various causes of esophageal stenosis and esophageal fistulas. Methods: 30 cases of esophageal stenosis were treated with nickel-titanium memory alloy stent and stainless steel self-expandable “Z” stent. Among them, 10 cases were esophageal tracheal fistula and 2 cases were esophageal mediastinal fistula. Bracket placement under X-ray television monitoring. Results: All the stents were successfully implanted, and the symptoms of eating difficulties were improved. The fistula with esophageal fistula was completely closed and the clinical symptoms were relieved. Followed up for 1 to 12 months, 2 cases of stent displacement, 1 case of benign stenosis recurrence after 1 month, the rest of the stent to maintain patency. Conclusion: The use of metal stent in the treatment of esophageal stenosis and esophageal fistula, is a safe and effective method