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目的：用动脉管注化疗及食管内支架治疗恶性食管狭窄。方法：对８例食管癌患者分别置放ＷＡＬＬＳＴＥＮＴ，ＳＴＲＥＣＫ－ＥＲＳＴＥＮＴ及ＺＳＴＥＮＴ，共１０个支架，先用导丝探索通过狭窄段，经球囊扩张后置放支架。置放支架１周后行食管动脉管注化疗，１次／４～６周。结果：８例患者造影显示５例患者食管完全梗阻，３例患者严重狭窄。所有患者均一次顺利完成支架置放。３例分别随访１年，２例分别随访８个月及６个月。患者进普食顺利，疗效满意。２例半年后又出现吞咽困难。造影显示原支架上下两端又出现狭窄经第二次置放支架后进食顺利，疗效满意。８例共行供血动脉管注５０次。结论：食管内支架治疗恶性食管狭窄，安全，可靠，疗效好，并发症少。但必须配合动脉灌注化疗
OBJECTIVE: To treat malignant esophageal stenosis with intra-arterial chemotherapy and esophageal stenting. METHODS: Eight patients with esophageal cancer were treated with WALLSTENT, STRECK-ERSTENT and ZSTENT. Ten stents were used. The guidewire was used to explore the narrow segment and the stent was placed after balloon expansion. One week after stent placement, esophageal arterial chemotherapy was performed once every 4 to 6 weeks. Results: Eight patients showed complete esophageal obstruction in 5 patients and severe stenosis in 3 patients. All patients successfully completed stent placement. Three patients were followed up for one year and two patients were followed up for 8 months and 6 months respectively. The patient entered the general food smoothly with satisfactory results. Two patients had dysphagia after six months. The angiography showed that the stenosis of the upper and lower ends of the original stent was performed after the stent was placed for the second time and the result was satisfactory. 8 patients received a total of 50 injections of arterial blood. Conclusion: Esophageal stenting is a safe, reliable and effective treatment for malignant esophageal stenosis with less complications. But must cooperate with arterial infusion chemotherapy