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目的:研究食管内支架在恶性食管梗阻及食管气管瘘治疗中的价值。方法:1995～1998年对72例恶性食管梗阻且不能耐受剖胸手术的患者置入食管内支架治疗。男56例,女16例,平均年龄73.5岁(38～90岁)。食管癌55例(并食管气管瘘3例),胃贲门癌13例,肺癌并气管食管瘘4例。结果:所有内支架开放良好,吞咽困难计分提高2分;72例中,53例(73.6％)无并发症,最多见的并发症是胸痛,有11例(21％)。结论:食管内支架能有效改善恶性食管梗阻及食管气管瘘的呛咳症状。
Objective: To study the value of esophageal stents in the treatment of malignant esophageal obstruction and esophageal tracheal fistula. Methods: From 1995 to 1998, 72 patients with malignant esophageal obstruction who could not tolerate thoracotomy were treated with esophageal stenting. There were 56 males and 16 females with an average age of 73.5 years (38-90 years old). There were 55 cases of esophageal cancer (3 cases with esophageal tracheal fistula), 13 cases of gastric cardia cancer, and 4 cases of lung cancer and tracheo-esophageal fistula. RESULTS: All stents were well opened and scores for dysphagia were increased by 2 points; of the 72 patients, 53 (73.6%) had no complications, and the most common complication was chest pain, and there were 11 patients (21%). Conclusion: Esophageal stenting can effectively improve the symptoms of malignant esophageal obstruction and esophageal fistulae.