在X线透视监视下用支架植入器经口植入带膜自膨式金属支架,以期解除病人的吞咽困难症状,提高生活质量,延长生存期。结果13例共植入支架14只,植入后全部病例吞咽困难均有明显改善,3至5天后能进软食,部分能进普食,1例食道气管瘘病人进食咳嗽症状消失,1例良性食道狭窄病人在植入后2个月支架掉入胃内。认为食道支架植入术方法简便,近期效果明显,适合由晚期食道癌、食道支气管瘘,食道周围淋巴结肿大压迫等引起的吞咽困难病例。 Under the X-ray fluoroscopic observation, a self-expanding metal stent with membrane was implanted through the mouth with a stent implanter to relieve the patient’s symptoms of dysphagia, improve the quality of life, and prolong the survival period. Results Fourteen stents were implanted in 13 patients. Dysphagia was significantly improved in all cases after implantation. Three to five days later, they were able to enter into soft foods, some of them could enter normal foods, one case of esophageal tracheal fistulas disappeared, cough symptoms disappeared, and one case was benign. Patients with esophageal stenosis fell into the stomach 2 months after implantation. The esophageal stent implantation method is considered to be simple and effective in the near future. It is suitable for cases of dysphagia caused by advanced esophageal cancer, esophageal bronchospasm, and pressure around the esophageal lymph nodes.