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目的:评价国产带膜网状金属内支架治疗食管恶性狭窄和瘘的疗效及并发症。方法:本组47例,均为失去手术时机或有手术禁忌证的恶性肿瘤患者,其中3例食管瘘,27例食管恶性狭窄,17例贲门和吻合口狭窄,在X线电视透视下共置入国产带膜网状支架48枚。结果:内支架置入全部一次成功,无即刻并发症,术后患者狭窄改善,饮食得到恢复,瘘道封闭,有效率达100%。随访结果示支架移位3例,脱落胃内1例,23例死于癌肿晚期,生存期5~23个月,与疾病性质和相关治疗情况有关。结论:国产带膜食管内支架治疗食管恶性狭窄是安全有效的,其方法简单,并发症少,可提高患者的生存质量,是一种值得推广的治疗方法。
OBJECTIVE: To evaluate the curative effect and complication of domestic made membrane-covered metal stent in treatment of malignant esophageal stenosis and fistula. Methods: The group of 47 patients were all patients with malignant tumor who had lost operation opportunity or contraindications of operation. Among them, 3 were esophageal fistula, 27 were malignant esophageal stenosis, 17 were cardia and anastomotic stenosis. They were co-located under X-ray fluoroscopy Into the domestic network with a mesh stent 48. Results: All the stents were inserted successfully. There was no immediate complications. The patients’ stenosis was improved, the diet was resumed and the fistula was closed. The effective rate was 100%. The follow-up results showed that the stent was displaced in 3 cases, shedding the stomach in 1 case, 23 cases died of advanced cancer, the survival of 5 to 23 months, and the nature of the disease and related treatment. Conclusion: Domestic stent-graft with esophageal stents is safe and effective in the treatment of malignant esophageal stenosis. The method is simple, has fewer complications and can improve the quality of life of patients. It is a worthy method of treatment.