«上一篇/Previous Article|本期目录/Table of Contents|下一篇/Next Article»

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:

01

期数:

2001年4期

页码:

232-234

栏目:

介入治疗

出版日期:

2001-04-30

文章信息/Info

Title:

Clinical application of expandable stent for benign and malignant esophageal obstruction

作者:

陈根生　 刘伟　 姚红响　 钱宏亮

浙江省丽水市人民医院浙江丽水,323000

Author(s):

Chen Gensheng;  Liu Wei;  Yao Hongxiang;  et al.

Department ofRadiology, People’sHospital ofLishui City, Zhejiangprovince323000, China

关键词:

食管肿瘤 狭窄 吻合口瘘 支架 介入疗法

Keywords:

Esophageal neoplasms　　Stenosis　　Anastomotic leakage　　Stent Intervention therapy

分类号:

R65

文献标志码:

B

摘要:

目的探讨镍钛记忆合金支架在食管癌性梗阻、食管吻合口狭窄、吻合口瘘、贲门失弛缓症中的临床应用价值.方法对22例食管良恶性狭窄者,采用X线电视定位,经口插管技术,将金属支架准确送入狭窄段,支架膨开后,重新建立食物通道.结果置管后,吞咽困难程度由术前平均3.1级改善为1.2级.2例吻合口瘘,1例食管气管瘘得到封堵.随访1～12个月,3例死于肿瘤恶液质,1例死于消化道大出血,其余18例尚在随访中.结论食管支架成形术是治疗食管良恶性狭窄、吻合口瘘可选择方法之一,对提高患者生活质量,延长生命发挥着重要作用.

Abstract:

Objective　To study the clinical application of self-expanding nitinol stent in benign and malignant esophageal obstruc- tion as well as in postoperative anastomotic stenosis and anastomotic leakage.　Methods　22 cases of benign ormalignant esophageal stenosis were treated by placing metallic stents inserted into the stenosis segment through per-oral intubation under the fluoroscopic guidance.　Results 　The degreee of dysphagia was improved, Stooler′s staging of dysphagia was down from 3.1 preoperatively to 1.2 postoperatively. 2 cases of anastomotic leakage and 1 case of esophagorespiratory fistulawere cured. All have been followed up for one totwelve months. 3 cases diedwith carcinoma cachexia and one succumbed to severe hemorrahage of digestive tract. The other 18 cases are still followed up.　Conclusions　 Placement of esophageal expandable stent is one of the ideal methods to treat benign and malignant esophageal stenosis and anastomotic leak- age. It can also play an important role in the improvement of the patients’life quality and prolongation of life.

常用功能

更新日期/Last Update: 2014-09-26