食管支架在食管良恶性狭窄中的应用(附30例分析)  

The Application of Esophageal Stent in the Treatment of Esophageal Strictures(A Report of 30 Cases)

作　　者：李妙玲[1] 黎庶熙[1] 孙兴旺[1] 宋政军[1] 

机构地区：[1]西安医科大学第一附属医院影像中心,710061

出　　处：《实用放射学杂志》2000年第3期154-156,共3页Journal of Practical Radiology

摘　　要：目的 :分析食管支架在食管良恶性狭窄中应用的临床资料 ,充分了解其适应证 ,避免支架在临床中的滥用。方法 :30例食管狭窄病人行镍钛合金记忆支架或不锈钢合金记忆支架治疗。男 2 1例 ,女 9例 ,年龄 4～ 70岁。良性狭窄 2 1例 ,恶性狭窄 9例。结果 :30例食管狭窄病人置入 32根记忆合金支架 ,吞咽困难明显改善 ,总有效率 96 .6 7%。结论 :食管—胃吻合口狭窄是食管内支架治疗最适宜的适应证 ;对于病变范围大于 8cm者应放置多根支架 ;对食管气管、食管纵隔瘘病人放置带膜支架疗效不好。Objective:To investigate the indications and complications in the treatment of benign and malignant strictures using esophageal stents in order to avoid abusing stents in clinical practice.Methods:A series of 30 patients with benign and malignant esophageal stricture were treated with esophageal stents.21 cases were male,9 cases were female.The age ranged from 4～70 years.Benign strictures was 21 cases,malignant stricure was 9 cases.Results:32 stents were used for palliative treatment of benign and malignant esophageal stricturs in 30 patients.The symptoms of dysphagia were considerably relieved in 28 cases.The total effective rate was 96.67%.Conclusion:The anastomotic stenosis is the most suitable indication using stents.If the extent of stenosis exceeds 8 cm series stents should be used.The curative effect of patients associated with fistula of esophagus～windpipe or esophagus～mediastrinum treated with stents covering membrane is low.

关 键 词：介入放射科 食管支架术 食管肿瘤 食管狭窄 

分 类 号：R735.105[医药卫生—肿瘤] R655.405[医药卫生—临床医学]