可回收覆膜支架治疗难治性食管良性狭窄  

Refractory Benign Esophageal Stenosis:Treatment with Covered Retrievable Self-Expandable Stents

作　　者：郭喜田[1] 张立军[1] 吕淑红[1] 王燕妮[1] 赵锦桥[1] 李亚琦[1] 

机构地区：[1]威海市立医院介入放射科,山东威海264200

出　　处：《实用放射学杂志》2004年第7期626-628,共3页Journal of Practical Radiology

摘　　要：目的　评价可回收覆膜支架治疗食管良性狭窄的可行性、安全性及其疗效。方法　食管良性狭窄患者 10例 ,在X线监视下置入国产可回收覆膜支架 10枚 ,其中Z型不锈钢丝支架 2枚、网状镍钛合金支架 8枚。在置入 1～ 16周后用回收钩或胃镜将支架取出。结果　 10枚支架均一次置入成功 ,支架置入后患者吞咽困难症状均有明显改善 ,能进普食 ,并在 1～ 16周后成功取出。支架取出后随访 6个月～ 3年 ,1例于支架取出后 1个月再次出现吞咽不畅 ,经反复食管球囊扩张术后症状改善 ,其余病例均未复发。结论　可回收覆膜支架是治疗食管良性狭窄的安全、简便、有效的方法 。Objective To investigate the safety,feasibility and clinical effectiveness of covered retrievable expandable stents in treating the patients with a benign esophageal stenosis.Methods Under fluoroscopic guidance,10 covered retrievable expandable stents( 2 Z-stents,8 Wallstents) were placed in 10 patients with a benign esophageal stenosis and were removed with a retrieval hook or gastroscope 1 week to 16 weeks later.Results Stent placement was successful in all patients with no procedural complication.After stent placement,common food could be deglutible in all cases and the stents were successfully removed 1 week to 16 weeks later.During followed-up(6 months～3 years)after stent removed,1 patient with recurrence were treated by means of repeat balloon dilation,other patients were no recurrence.Conclusion Use of retrievable expandable stents seems to be a safe,easy,and effective method of treatment in patients with benign esophageal stenosis.Further study will be necesary to evaluate the duration of stents in the body.

关 键 词：可回收覆膜支架 治疗 难治性食管良性狭窄 可行性 安全性 食管癌 

分 类 号：R655.4[医药卫生—外科学]