防反流型金属自膨式食管支架的临床应用  

Clinical application of esophageal anti-reflux self-expanding metallic stent

作　　者：许国铭[1,2,3,4,5,6] 李兆申[1,2,3,4,5,6] 王娜[1,2,3,4,5,6] 谢苏庆 尹宁[1,2,3,4,5,6] 王震[1,2,3,4,5,6] 孟凯 周鑫官[1,2,3,4,5,6] 张伯生 厉有民 沙正步 

机构地区：[1]第二军医大学长海医院 [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]浙江医科大学第一医院 [6]徐州铁路医院

出　　处：《中华消化杂志》1998年第4期229-231,共3页Chinese Journal of Digestion

摘　　要：目的证实一种新型食管支架具有治疗狭窄并有抗胃食管反流作用。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。安装防反流型支架后分别观察症状及体征，并监测２４小时食管ｐＨ（８例）、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。Objective To study the effect of a new type of esophageal metal stent in the treatment of esophageal stricture and the prevention of gastroesophageal reflux. Metods 17 patients (16 male and 1 femal) suffering from esophageal or cardiac cancer with obstructive symptoms were investigated. After the insertion 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 patient were investigated to evaluate the patency of the stricture and the effect of prevention of gastroesophageal reflux. Result After the treatment all of the strictures were dialated and the esophgus and cardiac were patent. There were no patients with gastroesophageal reflux. Con- clusion This kind of new type esophageal stent is effective in prevention of gastroesophageal reflux. [

关 键 词：食管狭窄 胃食管反流 食管支架 

分 类 号：R655.405[医药卫生—外科学]