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目的 :探讨国产食管内支架置入术的并发症及处理方法。材料与方法 :本组12例 ,男11例 ,女1例 ,年龄42～78岁。其中食管癌10例 ,贲门癌2例。选用国产镍钛热记忆合金带膜支架5例 ,不带膜支架7例。均在X线监视下 ,经口腔置入内支架。结果 :12例中11例置入成功 ,12例置入内支架的患者吞咽困难明显改善。12例术后有4例出现并发症 ,1例剧烈胸痛 ,1例突发大出血 ,1例脓胸 ,1例置入的两枚支架分离。结论 :食管内支架是治疗食管恶性狭窄的有效方法 ,预防并发症 ,配合必要的放、化疗可提高生存期。
Objective: To investigate the complication and treatment of domestic esophageal stent placement. Materials and Methods: The group of 12 patients, 11 males and 1 female, aged 42 to 78 years. Including esophageal cancer in 10 cases, 2 cases of cardiac cancer. Domestic use of nickel-titanium thermal memory alloy stent with 5 cases, without stent in 7 cases. All under X-ray monitoring, the oral stent placement. Results: Of the 12 cases, 11 cases were successfully inserted, and 12 patients with stenting improved their dysphagia. Complications were found in 4 of 12 cases, 1 case of severe chest pain, 1 case of sudden bleeding, 1 case of empyema, and 1 case of two stents. Conclusion: Esophageal stent is an effective method to treat malignant esophageal stenosis and prevent complications. With the necessary radiotherapy and chemotherapy, the survival period can be improved.