胃镜直视下置入支架治疗食管癌性狭窄的临床分析  

Clinical analysis of the usage of placing a stent by way of gastroscopy in the treatment of malignant esophageal stenosis

作　　者：曹彬[1] 徐燕飞[1] 胡红艳[1] 汤胜君 陈睿[1] 钱立康 程雪霞[1] 

机构地区：[1]安徽省铜陵市第四人民医院,244000

出　　处：《中国医学创新》2010年第2期37-39,共3页Medical Innovation of China

摘　　要：目的总结分析胃镜直视下置入自膨式食管支架的方法、疗效及常见并发症的预防及处理。方法采用无痛内镜技术,在胃镜直视下行狭窄再通及扩张术,然后置入自膨式镍钛加膜记忆支架。结果 46例患者治疗均获成功,达到了改善进食和提高生活质量的治疗目的 ,一次支架置入至再梗阻的时间最短102 d,最长181 d,放置支架最多者为3次3个,共存活750 d。结论内镜直视下自膨式食管支架的置入技术操作简单,痛苦轻微,疗效可靠,设备简单,手术安全。Objective To summarize and analyse of the approach and efficacy for endoscopy placed under direct vision of esophageal self - expanding stent, and prevention and treatment for well common complications after this method. Methods No pain endoscopic technology used in endoscopy narrow re - open heart downlink and expansion, and then placing self - expanding memory nickel - titanium coated stent. Results 46 patients were successfully inverted. We achieved the palliative care purposes of improving the consumption of the patients and their quality of life. The shortest and longest time for placing a stent and obstruction again is 102 and 181 days respectively and at most the patient placed 3 stents for 3 times survived 750 days. Conclusion Placing a stent by way of Gastroscopy in the treatment of malignant esophageal stenosis is simple and safe to operate, reducing the suffering of patients ,and reliable to cure the patients with simple equipment.

关 键 词：自膨式食管支架 存活时间 食管癌性狭窄 

分 类 号：R735.1[医药卫生—肿瘤]