动脉灌注化疗及食管内支架治疗恶性食管狭窄  

The treatment of Malingnant Esophagesal Strictures by Arterial Infusion and Self-expanding Stent

作　　者：王执民[1] 吴智群[1] 王义清[1] 关燕 徐金龙[1] 李文献[1] 董骞 

机构地区：[1]第四军医大学唐都医院介入放射科

出　　处：《实用放射学杂志》1999年第1期13-15,共3页Journal of Practical Radiology

基　　金：国家"九五"介入医学攻关资助

摘　　要：目的：用动脉管注化疗及食管内支架治疗恶性食管狭窄。方法：对８例食管癌患者分别置放ＷＡＬＬＳＴＥＮＴ，ＳＴＲＥＣＫ－ＥＲＳＴＥＮＴ及ＺＳＴＥＮＴ，共１０个支架，先用导丝探索通过狭窄段，经球囊扩张后置放支架。置放支架１周后行食管动脉管注化疗，１次／４～６周。结果：８例患者造影显示５例患者食管完全梗阻，３例患者严重狭窄。所有患者均一次顺利完成支架置放。３例分别随访１年，２例分别随访８个月及６个月。患者进普食顺利，疗效满意。２例半年后又出现吞咽困难。造影显示原支架上下两端又出现狭窄经第二次置放支架后进食顺利，疗效满意。８例共行供血动脉管注５０次。结论：食管内支架治疗恶性食管狭窄，安全，可靠，疗效好，并发症少。Objective:To treat the malignant esophageal strictures by arterial infusion and self-expanding stent.Methods:10 of wallstent,strecker stent and Z stent were used to treat 8 patients with malignant esophageal strictures.When the guide wire passed the strictures of the esophagus,the regions of stenosis were dilated by the esophageal balloon,then the stents were put on one week later chemical therapy by the arterial infusion was done.Resluts:The radiography of esophagus showed that the esophagus were obstructed completely in 5 patients and serious stenosis in 3 patients.All of the patients were taeated with the self-expanding stent successfully.3 cases were followed-up for 1 year,2 cases were followed-up for 8 month and 6 month respectively.The effect was execellent,the patients could swallow smoothly,2 cases had the dysphagia again in 6 month later and were treated with stent second time,the effect was also satisfied.Conclusion:The treatment of esophageal strictures with self-expanding stent is safe,excellent in effect,and with less complication,but must be accompanied with chemical therapy by the arterial infusion.

关 键 词：食管肿瘤 支架 食管狭窄 药物疗法 介入疗法 

分 类 号：R735.105[医药卫生—肿瘤]