目的 :总结及评价内镜直视下食管扩张及内支架安置术对良恶性食管狭窄的疗效。方法 :采用国产支架及支架推送器 ,先对狭窄段实施扩张 ,至局部直径 10mm以上 ,再应用推送器将支架送至狭窄段。结果 :32例患者系食管狭窄或食管吻合口狭窄 ,其中食管癌 2 1例 ,食管良性狭窄 3例 ,胃底贲门癌 5例 ,吻合口复发癌 3例。经扩张或 /和安装支架后 ,均能经口进食。结论 :经内镜下直视进行扩张及支架安装 ,由于其操作在直视下 ,安全方便 ,免去了X线的辐射 ,改善了病人的生活质量 ,疗效满意 Objective: To summarize and evaluate the efficacy of endoscopic esophageal dilation and stent placement on benign and malignant esophageal stenosis. Methods: The use of domestic stent and stent pusher, the expansion of the narrow section to the first, to the local diameter of 10mm or more, and then use the pusher to send the stent to the narrow section. Results: Thirty-two patients had esophageal stenosis or esophageal anastomotic stenosis, including 21 esophageal cancer, 3 esophageal stricture, 5 gastric cardia and 3 anastomotic recurrence. After expansion or / and mounting brackets, can be consumed orally. Conclusion: The endoscopic direct dilation and stent installation, because of its operation under direct vision, safe and convenient, eliminating the X-ray radiation, improve the patient’s quality of life, with satisfactory results