论文部分内容阅读
目的 :分析食管支架在食管良恶性狭窄中应用的临床资料 ,充分了解其适应证 ,避免支架在临床中的滥用。方法 :30例食管狭窄病人行镍钛合金记忆支架或不锈钢合金记忆支架治疗。男 2 1例 ,女 9例 ,年龄 4～ 70岁。良性狭窄 2 1例 ,恶性狭窄 9例。结果 :30例食管狭窄病人置入 32根记忆合金支架 ,吞咽困难明显改善 ,总有效率 96 .6 7%。结论 :食管—胃吻合口狭窄是食管内支架治疗最适宜的适应证 ;对于病变范围大于 8cm者应放置多根支架 ;对食管气管、食管纵隔瘘病人放置带膜支架疗效不好。
OBJECTIVE: To analyze the clinical data of esophageal stent in the treatment of benign and malignant esophageal stenosis, to fully understand its indications and to avoid the abuse of stent in the clinic. Methods: Thirty patients with esophageal stenosis were treated with nickel-titanium alloy memory stent or stainless steel alloy memory stent. Male 2 1 cases, 9 females, aged 4 to 70 years. 21 cases of benign stenosis, 9 cases of malignant stenosis. Results: Thirty patients with esophageal stenosis were implanted with 32 memory alloy stents, and their dysphagia improved obviously with a total effective rate of 96.67%. Conclusion: Esophageal-gastric anastomotic stenosis is the most suitable indications for the treatment of esophageal stent. For the lesions larger than 8cm, multiple stents should be placed. For the tracheoesophageal and esophageal mediastinal fistula patients with stent-graft is not effective.