多枚食管支架治疗晚期食管癌的临床应用研究  

Clinical study of the multiple stents on advanced esophageal carcinoma

作　　者：李海渊[1] 张玉芳[1] 邓俊国[1] 王维新[1] 杨大勇[1] 于佳丽[1] 姜天利[1] 刘彬[1] 

机构地区：[1]河北省秦皇岛市第二医院放射科,河北秦皇岛066600

出　　处：《医学影像学杂志》2010年第1期55-58,共4页Journal of Medical Imaging

基　　金：秦皇岛市科学技术研究与发展指导计划第三批(2007-58-84)

摘　　要：目的:评价多枚食管支架在晚期食管癌治疗中的临床疗效。方法:18例食管癌患者行多枚镍钛合金记忆支架治疗。均为晚期食管癌或支架术后患者。结果:18例食管癌患者置入41枚记忆合金支架,吞咽困难明显改善,总有效率98.6%。结论:晚期食管癌是食管支架治疗最适宜的姑息性适应证;对于病变范围大于10cm者或支架术后再狭窄患者应采用放置多枚支架插接的方法。Objective：To study the clinical application of esophageal stents on advanced esophageal carcinoma and analyse the indications as well as complications sufficiently for evaluating the curative effect. Methods： Eighteen patients with either advanced esophageal carcinoma or after stenting were treated with multiple memory stents implantation. Among the 18 cases, 17 were male and 1 was female, the age were from 55 to 82 years old （averaged 69）, the pathological changes were varied from 14 to 17 centimeters long. Results：There were over all 41 stents implanted into the 18 patients and the dysphagia was markedly alleviated. All of them were succeeded in one-time therapy and the success rate was 98.6%. Conclusion： The advanced esophageal carcinoma was the most appeasement indications for esophageal stents therapy. Advanced esophageal carcinoma patients whose pathological changes were more than 10 centimeters long or after stenting should be treated by multiple stents implantation.

关 键 词：晚期食管癌 介入治疗 多枚支架 

分 类 号：R735.1[医药卫生—肿瘤] R815[医药卫生—临床医学]