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目的:评价金属内支架治疗食管及贲门部恶性狭窄的效果。材料和方法:14例食管,贲门部恶性狭窄患者,1例合并有食管气管瘘。经口操作,先行球囊导管对狭窄段进行扩张,后置入金属内支架(stent),其中13例置入国产被覆涤纶膜 Z 型内支架(共15枚)。另1例应用 Strecker stent。结果:内支架置入全部成功,术后患者狭窄得到改善,食管气管瘘孔安全封闭。术后患者平均生存时问为5.5个月。结论:金属内支架是治疗食管及贲门部恶性狭窄的有效的非手术方法,可明显改善患者的生存质量。
Objective: To evaluate the effect of metal stents in the treatment of malignant stenosis of the esophagus and cardia. Materials and Methods: 14 patients with esophageal, malignant stenosis of the fontanelle and 1 patient with esophageal tracheal fistula. After oral operation, a balloon catheter was used to expand the stenosis segment, and a stent was placed behind it. Thirteen of them were implanted with a Z-type internal stent (15 in total). In another case, Strecker stent was used. RESULTS: All the stents were successfully implanted. The stenosis was improved and the esophagotracheal fistula was closed safely. The average survival time for patients after surgery was 5.5 months. Conclusion: The metal stent is an effective non-surgical method for the treatment of malignant stenosis in the esophagus and cardia. It can significantly improve the quality of life of patients.