在内镜引导下，用国产食管镍钛记忆合金带膜支架姑息治疗老年晚期食管癌患者１４例，３例合并食管呼吸道瘘。共安放支架１５个（１例安放２次），均安放成功，进入预定位置，支架扩张满意。术后患者吞咽困难平均从３．２０±０．４１级降至１．１５±０．１４级，食管呼吸道瘘均被阻断，生活质量评分（Ｋａｍｏｆｓｋｙ评分）平均提高２８．４±５．１２。无出血、穿孔等严重并发症，仅１０例出现短期胸骨后痛（２～４天逐渐消失），１例开始置入网状支架，肿瘤组织从网眼中长入而再次引起吞咽困难，２次扩张后放入带膜支架，吞咽困难缓解。本组死亡６例。认为内镜下引导置入食管带膜支架治疗老年人晚期食管癌操作简单、安全，效果好，并发症少，患者生活质量明显提高 Under endoscopic guidance, 14 cases of elderly patients with advanced esophageal cancer were palliatively treated with domestic esophageal nickel-titanium memory-membrane stents, and 3 cases were associated with esophageal respiratory fistula. A total of 15 stents were placed (1 case was placed 2 times). All were placed successfully and the stent was expanded satisfactorily. Postoperative dysphagia dropped from 3.20±0.41 to 1.15±0.14. The esophageal airway fistula was blocked and the quality of life score (Kamofsky score) increased by 28.4±5.12 on average. . There were no serious complications such as bleeding or perforation. Only 10 cases of short-term sternal back pain (gradually disappeared in 2 to 4 days) occurred. In 1 case, a mesh stent was inserted. The tumor tissue grew into the mesh and caused dysphagia twice. After expansion, the stent was placed and the difficulty in swallowing was relieved. The group died in 6 cases. It is believed that the endoscopic guidance of esophageal stenting for elder patients with advanced esophageal cancer is simple, safe, effective, with few complications, and the quality of life of patients is significantly improved.