防反流型金属自膨式食管支架的临床应用  

Clinical Aplication of Esophageal Anti-reflux Self-expanding Metal Stent

作　　者：许国铭[1] 李兆申[1] 王娜[1] 谢苏庆[1] 尹宁[1] 王震 孟凯 周鑫官[3] 张伯生[4] 厉有民 沙正步 

机构地区：[1]第二军医大学长海医院消化内科,200433 [2]江苏淮阴西格玛医用实业有限公司 [3]江苏省肿瘤医院胸外科 [4]南京市胸科医院胸心外科 [5]浙江医科大学附属一院 [6]徐州铁路医院

出　　处：《胃肠病学》1998年第1期25-26,29,共3页Chinese Journal of Gastroenterology

摘　　要：目的:明确一种新型食管支架治疗狭窄和抗胃食管反流的作用。方法:17例(男16例,女1例)有梗阻症状的食管、贲门恶性肿瘤患者,在安装防反流型支架后,分别观察症状及体征,监测24小时食管pH(8例),并行食管内镜检查(9例)及胃肠X线检查(3例),以观察狭窄通畅情况及有无胃食管反流迹象。结果:置入支架后食管、胃、贲门通畅,无一例有胃食管反流存在。结论:此类新型支架有良好的抗胃食管反流作用。Background/Aims: To evaluate a new type of esophageal metal stent in the treatment of esophageal stricture and the prevention of gastroesophageal reflux. Methods: 17 patients (16 male and 1 femal) suffering from esophageal or cardiac cancer with obstructive symptoms were investigated. After the manipulation of esophageal stent, esophageal 24 hour pH mornitoring, endoscopy and gastrointestinal barium examination were carried out in 8, 9 and 3 patients respectively, and the changes of the obstructive symptoms in all patients were investigated to evaluate the patency of the stricture and the effect on preventing gastroesophageal reflux. Results: After the treatment, all of the strictures were dilated and the esophagus and cardiac were patent. No gastroesophageal reflux was found in all patients. Conclusions: This new kind of esophageal stent has effect on the prevention of gastroesophageal reflux.

关 键 词：食管狭窄 胃食管反流 食管支架 

分 类 号：R735[医药卫生—肿瘤]