超细胃镜在食管金属支架置放中的作用  

Values of ultrathin gastroscope in implantation of esophageal metal stents

作　　者：王盛根[1] 王寿九[1] 涂金兰[2] 谷丽娟[1] 曾庆菊[1] 吴玉纯[3] 

机构地区：[1]南京医科大学友谊医院消化内镜室,江苏省南京市210029 [2]南京市中大医院下关分院内镜室,江苏省南京市210015 [3]南京医科大学友谊医院放射科,江苏省南京市210029

出　　处：《世界华人消化杂志》2006年第23期2349-2353,共5页World Chinese Journal of Digestology

摘　　要：目的:观察超细胃镜在食管金属支架放置中的作用．方法:对13例晚期食管／贲门癌(其中1例伴食管-气管瘘)及1例贲门失弛缓并吞咽困难患者应用Fujinon EG-270N5超细电子胃镜进行金属支架放置．术中对狭窄预扩张至9 mm,计算并控制输送器插入深度以及胃镜直视下调节输送器内支架上端位置以保证放置位置准确,全程无X线监控．观察支架放置成功率、定位准确性,扩张效果以及并发症情况．结果:全部患者支架一次性放置成功,定位准确;自膨满意,最狭窄处内径由2．73±3．18 mm扩至13．65±1．66 mm,食管气管瘘被覆盖阻断．吞咽困难评级由3．15±0．68降至0．91±0．49．结论:单纯超细胃镜下食管金属支架放置术患者依从性好:方法简便、准确、安全、有效．AIM： To evaluate the values of ultrathin gastroscope in the implantation of esophageal metal stents. METHODS： Thirteen patients suffering dysphagia from late-stage esophageal or cardiac carcinomas （one of which was complicated with esophagotracheal fistula） and 1 patient with cardiac achalasia received the implantation of esophageal metal stents under Fujinon EG-270N5 ultrathin gastroscope. Following the strictrue was pre-dilated to 9 mm, the stent was implanted to an accurate level ensured by both controlling the calculated stent conveyor and regula upper end of the stent in inserting depth of the ting the position of the conveyor under ultrathin gastroscopy without X-ray monitoring. The success rate, accuracy, self-expanding, and complications of the implantation were observed. RESULTS： The implantation of the stents was successfully performed in the accurate position with satisfactory self-expanding in all the patients, and the shortest diameter of the strictures was expanded from 2.73 ± 3.18 to 13.65 ± 1.66 mm. The esophagotracheal fistula was occluded by the stents. The grades of dysphagia were lowered from 3.15 ± 0.68 to 0.91 ± 0.49. CONCLUSION： The implantation of esophageal metal stents under ultrathin gastroscope without X-ray monitoring is simple, accurate, safe, and effective, with good compliance of patients.

关 键 词：超细胃镜 食管狭窄 吞咽困难 支架 依从性 

分 类 号：R573[医药卫生—消化系统]