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目的探讨食管支架置入术并发症及其处理措施。方法对60例患者实施食管支架置入术:恶性病变59例,良性狭窄1例。随访3~24个月。支架类型:国产不锈钢Z型金属带膜支架12例,国产网格型镍钛记忆合金带膜支架47例,进口带膜支架1例。结果60例支架置入术均获成功,术中发生心律失常2例、窒息1例;术后1~36周出现胸痛不适及异物感49例、恶心呕吐15例、支架上口食管慢性感染2例、支架移位6例、支架堵塞16例;大出血死亡、呼吸困难、支架穿破食管引起胸腔瘘各1例;经临床处理后,除1例大出血失血性休克死亡外,其余并发症均得到控制好转。结论金属支架治疗食管狭窄,绝大多数术后并发症轻微,但仍应严格掌握适应证。
Objective To investigate the complications and treatment of esophageal stent implantation. Methods Sixty patients underwent esophageal stent placement: 59 cases of malignant lesions and 1 case of benign stenosis. Follow up for 3 to 24 months. Stent types: domestic stainless steel Z-shaped metal stent with 12 cases, domestic mesh nickel-titanium memory alloy stent with 47 cases, 1 case with imported stent. Results 60 cases of stent implantation were successful, 2 cases of arrhythmia occurred in surgery, 1 case of suffocation; 1 to 36 weeks after the onset of chest pain and foreign body sensation in 49 cases, nausea and vomiting in 15 cases, stent esophageal infection 2 Cases of stent displacement in 6 cases, 16 cases of stent blockage; bleeding died, dyspnea, stent esophageal perforation caused by a fistula in 1 case; after clinical treatment, in addition to a hemorrhagic hemorrhagic shock died, the other complications were Control better. Conclusion Metal stent treatment of esophageal stricture, the vast majority of postoperative complications are minor, but should still be strictly controlled indications.