自膨式金属内支架治疗食管狭窄和食管瘘  

Self-expanding Metallic Stents for Treatment of Esophageal Stenosis and Esophageal Fistula

作　　者：仇德升 卢兴武 杨忠新 孟庆玉 胡欣丽 

机构地区：[1]徐州市第六人民医院放射科,江苏徐州221006

出　　处：《国际医药卫生导报》2006年第20期17-18,共2页International Medicine and Health Guidance News

摘　　要：目的探讨金属内支架治疗食管狭窄和食管瘘的疗效及临床需要注意的问题。方法31例患者中食管狭窄30例(其中5例合并食管瘘),自发性食管破裂1例。在X线电视监视下,31例患者共置入33枚食管支架,带膜支架30枚,裸支架3枚。结果31例患者均一次性置入成功。30例食管狭窄的患者术后吞咽困难症状明显改善,6例有食管瘘的患者瘘口完全封堵,无术中并发症。术后2例出现消化道大出血死亡,5例出现支架一端明显狭窄或支架移位,其中2例通过再置入支架治疗,1例外科手术,2例放弃治疗。23/27例食管恶性病变患者在随访期死亡,平均生存期6.1个月。结论内支架置入治疗食管狭窄和食管瘘安全、有效、操作简单、并发症少。Objective To investigate the effectiveness and the attentiveness in clinical dealings in the treatment of esophageal stenosis and esophageal fistula with self-expanding metallic stent. Methods Under fluoroscopic guidance, 33 stents were implanted in 31 patients, including 25 with esophageal stenosis, 5 with esophageal stenosis accompanied by esophageal fistula, one with spontaneous esophageal fistula. Of the 33,30 were coated stents and 3 were uncoated stents. Results Successful stent placement was achieved in all cases. 30 patients with esophageal stenosis had made significant improvement in dysphasis. Fistulas was completely sealed in 6 patients with esophageal fistula. The complications were not encounted duing the operation. 23/27 patients with malignant esophageal stenosis died within the follow-up period, the avevage survival time was 6.1 months. Conclusion stents placement is a safe, simple and effective method to treat the esophageal stenosis and esophageal fistula.

关 键 词：食管狭窄 食管瘘 支架 放射学 介入性 

分 类 号：R571[医药卫生—消化系统]