食管内支架的临床应用  

Clinical application of stent in esophagus

作　　者：陆玉和[1] 唐守言[1] 陈学银[1] 张春洋[1] 王自力[1] 

机构地区：[1]滁州市第一人民医院放射科,安徽239000

出　　处：《安徽卫生职业技术学院学报》2006年第2期46-47,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨镍钛合金记忆支架在食管狭窄性疾病中的应用价值,分析并发症、疗效及影响因素。方法:33例患者共释放34枚支架,其中食管癌狭窄18例,食管胃吻合口狭窄10例,食管癌狭窄伴穿孔4例,食管胃吻合口下瘘1例。选择镍钛合金记忆支架,全部经口在电视透视下置入。结果:32例食管狭窄(含吻合口及穿孔),置入支架后进食困难缓解;1例食管胃吻合口下瘘,瘘口未能封堵;1例食管胃弓上吻合者,支架置入2月后,并发食管大出血死亡。结论:内支架治疗食管狭窄性病变,作为一种姑息性疗法,方便、简单、安全,近期疗效好。Objective To evaluate the value of clinical application of Ti-Nickle memory alloy stent in esophaggel anatomical stricture and to analyse complication, therapeutic effect and influence factor.Methods 33 patients released 34 stents with 18 cases of esophagus cancerous stricture, 10 case of anatomical fistulas of esophagus-stomach,4 cases of esophagus cancer companied perforation and one case of infra-anatomical fistulas esophagus-stomach.All the stents were put in under the guidance of fluoroscopic television. Results The symptoms were alleviated in all 32 patients after stent placement.One patient failed because of infra-anatomical fistulas of esophagus- stomach ,and another patient died due to the massive bleeding of the esophagus 2 months after over aortic arch stent placement.Conclusion The treatment of esophagus stricture disease with covered-stent placement is an easy, safe and useful conservative method.Our study shows the short-term therapeutic effect is very good.

关 键 词：食管 内支架 狭窄 吻合口 穿孔 

分 类 号：R571[医药卫生—消化系统]