论文部分内容阅读
目的评价内镜下食管内支架放置术治疗食管狭窄和食管气管瘘近期及远期疗效。方法食管狭窄者6例,皆为男性,其中食管癌4例,胃癌2例。采用国产或进口支架。在X线荧光屏监视下,首先在内镜下将狭窄部位扩张至直径16-18 cm。然后沿导丝将包括支架和推进管在内的引导装置插入狭窄部位,最后退出推进管,放入支架。术后定期随访,评估术后近期及远期疗效。结果治疗6例患者,成功4例(66.7%)。术后均恢复经口营养,吞咽困难改善至少2级,食管气管瘘缓解。结论内镜下食管狭窄的内支架治疗是一种简便、安全、有效、患者易于接受的姑息性治疗食管狭窄的方法。
Objective To evaluate the short-term and long-term efficacy of endoscopic esophageal stenting for the treatment of esophageal stenosis and esophageal fistula. Methods Six cases of esophageal stenosis were male, including 4 cases of esophageal cancer and 2 cases of gastric cancer. Use domestic or imported stents. Under X-ray screen monitoring, the stenosis was first expanded to 16-18 cm in diameter. The guide device including the stent and the pusher tube is then inserted into the stenosis along the guide wire, and finally the pusher tube is withdrawn and placed into the stent. Regular follow-up after surgery to assess the short-term and long-term efficacy. Results Six patients were treated and 4 were successful (66.7%). After oral administration, oral nutrition was restored, dysphagia was improved by at least grade 2, and esophageal tracheal fistula was relieved. Conclusion Endoscopic treatment of esophageal stenosis is a simple, safe, effective, and easily accepted method of palliative treatment of esophageal stenosis.