论文部分内容阅读
目的 探讨食管内支架置放术治疗食管良恶性狭窄 (及 )合并食管瘘的临床意义。方法 用Savary扩张器对狭窄段食管扩张后 ,在胃镜监视下置放NiTi记忆合金内支架支撑狭窄段。合并食管瘘者 ,用带膜支架 ,使瘘口与食管腔隔开。结果 60例全部成功 ,手术过程无严重并发症 ,扩张后食管直径均大于 15mm ,吞咽困难改善程度 :显效率 82 % ( 4 9/ 60 ) ,痊愈率 18% ( 11/ 60 ) ,总有效率 10 0 %。结论 食管内支架置放术是治疗食管良恶性狭窄 (及 )合并食管瘘安全有效的方法 ,达到提高生活质量 ,延长寿命 ,为进一步治疗创造条件的目的。
Objective To investigate the clinical significance of esophageal stent placement in the treatment of benign and malignant esophageal stenosis (and) complicated esophageal fistula. Methods After the esophageal dilatation of the narrow segment was performed with the Savary dilator, NiTi memory alloy stent was placed under the observation of gastroscope to support the narrow segment. In patients with esophageal fistulas, stents were used to separate the fistula from the esophageal cavity. Results All the 60 cases were successful. No severe complications occurred during the operation. The diameter of the esophagus after the expansion was greater than 15 mm. The degree of dysphagia was improved: the markedly effective rate was 82% (49/60), the healing rate was 18% (11/60), and the total effective rate was. 100%. Conclusion Esophageal stent placement is a safe and effective method for the treatment of benign and malignant esophageal stenosis (and) complicated esophageal fistulae, which can improve the quality of life, prolong life span, and create conditions for further treatment.