多次多枚支架置入在治疗食管恶性狭窄中的应用  

Application of repeated or multiple stent placement in the treatment of malignant esophageal stricture

作　　者：沈秀云[1] 刘鹏飞[1] 项斌[1] 许庆华[1] 

机构地区：[1]东南大学医学院附属江阴医院消化内科,江苏江阴214400

出　　处：《胃肠病学和肝病学杂志》2013年第2期126-127,共2页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的探讨多次多枚支架置入在治疗食管恶性狭窄中的临床应用价值。方法 8例患者中5例患者分别于置入第1枚支架2～5个月后因肿瘤进展或炎性增生致再狭窄而置入第2枚支架,2例患者因术后出现食管气管瘘而置入第2枚支架,1例食管贲门癌患者因病变累及范围较长而一次置入2枚支架。结果 5例支架术后再狭窄患者及1例食管双支架置入患者术后进食梗阻均得到改善,但其中1例术后1周因全身情况恶化放弃治疗,2例食管气管瘘患者术后病情好转。结论多次多枚支架置入对治疗食管恶性狭窄有着重要的临床应用价值。Objective To investigete the clinical value of repeated or multiple stent placement in the treatment of malignant esophageal stricture. Methods 5 of the 8 patients with malignant esophageal stricture accepted second stent placement because of stricture due to progression of tumor or inflammatory hyperplasia 2 - 5 months after placement of the first stent. 2 patients accepted second stent placement because of esophageal fistula after placement of the first stent. 1 patient of esophageal and cardiac cancer which involved a long range, 2 stents were used simultaneously. Results Obstruction got improved in 5 patients of stricture after the first stent placement and the patient who experienced multiple stent placement. However, one of them gave up advanced treatment because his general situation was getting worse. 2 patients of esophageal- trachea fistula got better after the operation. Conclusion Repeated or multiple stent placement has significant clinical value in the treatment of malignant esophageal stricture.

关 键 词：支架 食管狭窄 食管癌 内镜 瘘 

分 类 号：R571[医药卫生—消化系统]