自扩式金属支架置入治疗恶性食管狭窄的存活率及其并发症

来源 :世界核心医学期刊文摘(胃肠病学分册) | 被引量 : 0次 | 上传用户:liongliong559
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Objective. To report on survival and complications after in- sertion of self-expandable stents in patients with malignant oesophageal stenosis. Material and methods. Data were gathered retrospectively from the medical records of 92 consecutive patients in the period 1994- 2003. The study comprised 68 men and 24 women (median age 72 years, range 46- 93 years) with stenosis from cancer of the oesophagus (n = 61), the gastric cardia (n = 26) and the lung (n = 5), located mainly above (n = 4) or below (n = 62) the carina, or at the gastrooesophageal junction (n = 26). One uncovered stent and six different covered stents were used. Results. Median and mean survival times after stenting (n = 92) were 83 (range 4- 1102) and 125 days, respectively. Thirty-day mortality was 19% (n = 17), and 7% (n = 6) survived more than one year. Survival was neither significantly influenced by division of the patients into diagnostic subgroups nor by comparison of the three most frequently used stents. One, two, three and four stents were received by 76, 11, 4 and 1 patient(s), respectively. There was no stent-related mortality, and complications were bleeding 1 (1% ), stent migration 7 (8% ), recurrent stenosis 8 (9% ) from both tumour overgrowth (n = 8) and tumour ingrowth (n = 2) when using uncovered stents. Thirteen (14% ) patients were restented because of recurrent stenosis (n = 8) including fistula formation to the left main bronchus (n = 2) and stent migration (n = 5). Conclusions. Use of self-expandable stents in patients with inoperable malignant oesophageal stenosis carried few complications and resulted in relatively long survival in comparison with similar studies. Objective reports to survival and complications after in- sertion of self-expandable stents in patients with malignant oesophageal stenosis. Material and methods. Data were gathered retrospectively from the medical records of 92 consecutive patients in the period 1994- 2003. 68 men and 24 women (median age 72 years, range 46-93 years) with stenosis from cancer of the oesophagus (n = 61), the gastric cardia (n = 26) and the lung Results of Median and mean survival times after stenting (n = 4) or below (n = 62) the carina, or at the gastrooesophageal junction (n = 26) Thirty-day mortality was 19% (n = 17), and 7% (n = 6) survived more than one year. Survival was significantly influenced by the division of the patients into diagnostic subgroups nor by comparison of the three most frequently used stents. One, t There was no stent-related mortality, and complications were bleeding 1 (1%), stent migration 7 (8%), recurrent Thirteen (14%) patients were restented because of recurrent stenosis (n = 8) including fistula formation to the Left main bronchus (n = 2) and stent migration (n = 5). Conclusions. Use of self-expandable stents in patients with inoperable malignant oesophageal stenosis carrying few complications and resulted in relatively long survival in comparable with similar studies.
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