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目的:探讨内镜直视下植入支架治疗食管狭窄及食管气管瘘的适应症、疗效及安全性。方法:所有患者先以萨氏(Savary)探条扩张器扩至9～12mm,在导丝引导下插入带支架的专用推送器,准确定位后释放。整个过程仅需在内镜直视下进行,不用X线透视。结果:36例次(有4例患者先后植入两个支架)均一次置放成功,成功率100%。所有支架定位准确,无出血、穿孔、支架脱落及心血管系统意外等并发症。结论:内镜直视下植入支架治疗食管狭窄及食管气管瘘,具有适应症广,近期疗效肯定,安全性高等特点。对于晚期食管癌,尤其合并食管气管瘘患者,是一种有效的姑息疗法。
Objective: To investigate the indications, efficacy and safety of esophageal stenosis and esophageal tracheal fistula implantation under endoscopic implantation. Methods: All patients first expanded to 9-12 mm with the Savary probe dilator, and inserted a special pusher with a stent guided by the guide wire to release the needle accurately. The whole process only under endoscopic direct vision, without X-ray. Results: 36 cases (4 cases were implanted in two scaffolds) were placed in a success, the success rate of 100%. Accurate positioning of all stents, no bleeding, perforation, scaffolds and cardiovascular complications such as accidental complications. Conclusion: Endoscopic stent implantation of esophageal strictures and esophageal tracheal fistula implantation, with indications wide, the recent efficacy of positive, high safety characteristics. For advanced esophageal cancer, especially in patients with esophageal fistula, is an effective palliative treatment.