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目的置入国产记忆钛镍合金食管加膜支架治疗中、晚期食管贲门恶性狭窄及术后吻合口狭窄患者33例,观察近、远期疗效,评价不同置入法的优、缺点。方法对33例中、晚期食管贲门恶性狭窄及术后吻合口狭窄患者行探条扩张术(4例未扩张),采用胃镜测距盲推法置入记忆钛镍合金食管加膜支架。结果33例患者均一次成功放置支架,成功率100.00%,显著改善了患者的营养状况和生活质量,无严重并发症发生。近期有效率100.00%,远期有效率90.00%。结论记忆钛镍合金食管加膜支架置入是食管贲门恶性狭窄及术后吻合口狭窄的有效姑息性治疗方法。胃镜测距盲推置入法操作简单、安全,准确率高,医疗费用低,值得基层医院大力推广。
Objective To observe the short-term and long-term curative effect of 33 cases treated with homemade titanium-nickel alloy esophageal stent-graft in the treatment of advanced esophageal and cardiac stenosis and anastomotic stenosis after operation, and evaluate the advantages and disadvantages of different methods. Methods Thirty-three patients with malignant esophageal and cardiac stenosis and anastomotic stricture were enrolled in this study. Spinal dilation was performed in 4 patients without esophageal stenosis by gastroscopic distance-measuring method. Results All 33 patients were successfully placed stent, the success rate of 100.00%, significantly improved the patient’s nutritional status and quality of life, no serious complications. The recent efficiency of 100.00%, long-term efficiency of 90.00%. Conclusion The memory titanium-nickel alloy stent with esophageal stent implantation is an effective palliative treatment for malignant stenosis of the esophagus and postoperative anastomotic stenosis. Endoscopic blind positioning into the law is simple, safe, high accuracy, low medical costs, it is worth promoting the primary hospital.