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目的 阐述自膨式金属内支架(Self—Expanding Metallic Stent,SEMS)在治疗食管狭窄性疾病,如食管癌、贲门癌、食管吻合口狭窄中的应用价值。方法 本组病例17例,其中食管癌7例,贲门癌1例,食管吻合口狭窄9例,采用SEMS18根,在X线监视下,标定狭窄部位,再行球囊扩张后,置入SEMS。结果 SEMS置入术本组病例成功率100％。术后病人吞咽功能均得以恢复,吞咽困难由术前2级、3级改善到0级水平,并无严重并发症的出现,大大提高了病人的生存质量和生存期。结论 应用SEMS治疗中晚期食管癌、贲门癌及食管术后吻合口狭窄所致的食管狭窄、梗阻是一种操作简便、安全、疗效明显、快捷、很受患者欢迎和临床医生认可的介入治疗新方法。
Objective To describe the value of Self-Expanding Metallic Stent (SEMS) in the treatment of esophageal stenosis, such as esophageal cancer, cardia cancer and esophageal anastomotic stenosis. Methods Seventeen cases of esophageal cancer, one case of cardia cancer and nine cases of esophageal anastomotic stenosis were enrolled in this study. SEMS18 was used to monitor the stenosis site under X-ray monitoring. Results The success rate of SEMS implantation in this group was 100%. The postoperative swallowing function was recovered, dysphagia improved from preoperative 2, 3 to 0 level, there is no serious complications, greatly improving the patient’s quality of life and survival. Conclusions The application of SEMS in the treatment of advanced esophageal cancer, cardia cancer and esophageal stricture esophageal stricture esophageal stricture, obstruction is a simple, safe, effective, quick, very popular with patients and clinicians recognized the new interventional therapy method.