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我院自1999年7月～2000年3月应用内覆膜食管支架治疗食管癌贲门癌癌性狭窄30例,现将体会报告如下。1 资料与方法1.1 临床资料 男性24例,女性6例。年龄46～75岁。病变位于食管上段4例,食管中段16例（1例有脑转移合并食管气管瘘）,食管下段贲门癌7例（1例肝转移）,吻合口狭窄2例,食管上下段双源性肿瘤狭窄1例。本组患者吞咽困难3个月～1年不等,其中4例不能进流质,18例仅能进流食,8例能进半流食。肿瘤长度4cm～12cm不等。其中放疗后8例,化疗4例,3例开胸探查后肿瘤不能切除,术后1周内置入支架,2例置入双支架,除1例经口插入,其余均经鼻置入支架。上述病例均经病理及食管造影
Our hospital from July 1999 to March 2000 application of laminoplasty esophageal stent esophageal cancer cardia cancer stenosis in 30 cases, the experience will now report as follows. 1 Materials and Methods 1.1 Clinical data 24 males and 6 females. Age 46 to 75 years old. The lesions were located in the upper esophagus in 4 cases, esophageal in 16 cases (1 case of brain metastasis with esophageal tracheal fistula), lower esophageal cardia cancer in 7 cases (1 case of liver metastasis), anastomotic stenosis in 2 cases, upper and lower esophageal double tumor stenosis 1 case. The patients with dysphagia 3 months to 1 year range, of which 4 cases can not enter the liquid, 18 cases can only enter the flow of food, 8 cases into the semi-liquid food. Tumor length 4cm ~ 12cm range. Among them, 8 cases were treated with radiotherapy and 4 cases were treated with chemotherapy. Three cases of thoracotomy could not be excised. The stent was placed within 1 week after operation and 2 cases were placed in double stent. Except for 1 case, the stent was inserted through the nose. The above cases were pathological and esophageal angiography