覆膜镍钛合金支架治疗恶性食管-气管瘘21例临床疗效分析  

Analysis of Clinical Curative Effect of Nickel-titanium Shape Memory Alloy Mesh Stent with a Membrane for Esophageal Cancer-tracheal Fistula (21 Cases)

作　　者：杨位轩 刘成[1] 刘同丰 

机构地区：[1]江苏省淮安市淮阴医院消化科,223300

出　　处：《中国消化内镜》2009年第4期23-26,共4页Digestive Disease and Endoscopy

摘　　要：目的评价应用镍钛记忆合金带膜网状支架治疗癌性食管-气管瘘的疗效。方法2002～2009年病理、胃镜或上消化道造影证实食管-气管瘘患者21例,根据食管狭窄的程度、长度、瘘口部位及狭窄上缘距门齿距离,确定支架长度和支架位置,随后行食管内带膜支架置入术。结果20例病人均1次成功放置镍钛记忆合金带膜网状支架,患者呛咳及吞咽困难症状消失,术后均能进普通流食。1例重度肺部感染合并心衰,患者不能耐受,放弃支架治疗。结论内镜下置入带膜支架是治疗晚期食管癌合并食管-气管瘘病人的一种有效方法。Objective： To evaluate the application of nickel-titanium shape memory alloy mesh stent with a membrane of esophageal cancer - tracheal fistula. Methods： 2002-2009, pathology, endoscopy or upper gastrointestinal radiography confirmed esophageal - tracheal fistula in 21 patients, according to the extent of esophageal stenosis, length, fistula location and the upper edge of the narrow distance from the incisors to determine stent length and stent position, then OK esophageal stent implantation. Results： 20 patients were placed on a successful film with a nickel-titanium shape memory alloy mesh stent, dysphagia in patients with cough and symptoms disappeared after can into the regular flow of food. One cases of severe pulmonary infection associated with heart failure, the patient can not tolerate, Abandon the stent. Conclusions： Endoscopic stent placement for treatment of advanced esophageal cancer with esophageal tracheal fistula one patient an effective method.

关 键 词：镍钛记忆合金带膜网状支架 食管-气管瘘 内镜治疗 

分 类 号：R735.1[医药卫生—肿瘤] R318.08[医药卫生—临床医学]