采用内支架治疗食管癌性狭窄的疗效观察  

The curative effect of inner stents on the treatment of malignant esophageal stenosis

作　　者：李毅明[1] 徐幼泉[1] 杨真[1] 王国东[1] 许金水[1] 童丽华[1] 

机构地区：[1]三明市第二医院介入科福建医科大学临床教学专业基地,福建省三明366000

出　　处：《中国基层医药》2010年第8期1047-1048,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨采用国产覆膜金属内支架治疗食管癌性狭窄的疗效和安全性。方法47例癌性食管狭窄不愿意或不能手术的患者，均未经放射治疗。其中食管上段狭窄8例，食管中段狭窄12例，食管下段狭窄27例（其中贲门癌12例）。针对不同部位，选用不同直径、不同开口形状的国产支架，行经口腔支架置放术。随访5～16个月，平均11个月。结果47例48个支架置入技术操作全部成功。所有患者术后吞咽困难改善在Ⅰ级以上，达到0级或Ⅰ级。术后3个月发生一过性狭窄1例，是肿瘤向支架近端生长造成，经置入第2枚支架后改善。结论国产覆膜金属内支架置入治疗癌性食管狭窄是安全的，能有效缓解吞咽困难。Objective To observe the effect and safety of home-made metallic stent implantation in the treatment of malignant esophageal stricture. Methods Among 47 cases with malignant esophageal stricture, there were 8 cases in superior esophagus, 12 cases in middle esophagus,27 cases in inferior esophagus, and 12 cases with gastric cardia carcinoma. Those cases were not suitable or willing to accept surgical operation. Before stenting, radiotherapies were not done in all cases. Different shape home-made metallic stents were used to place the segment of structure via mouth according to the positions and diameters of esophageal stricture. The follow-up periods was 5 - 16 months. Resuits 48 stents were implanted successfully in 47 patients. After operation,swallow was improved in all patients. No major complications occurred in these groups. Restenosis occurred in the third month post-operation in 1 case owing to tumor relapsed and grew at proximal stent, and another stent was implanted successfully. Conclusions Stents implantation for malignant stricture can effectively and safely relieve the dysphasia.

关 键 词：食管狭窄 支架 放射学 介入性 

分 类 号：R735[医药卫生—肿瘤]