内支架治疗上胃肠道恶性狭窄和食管气管瘘  

Treatment of malignant stricture of the upper gastrointestinal tract and tracheoesophageal fistula with stents

作　　者：胡茂能[1] 

机构地区：[1]合肥市第三人民医院影像中心,安徽合肥230022

出　　处：《实用放射学杂志》2013年第5期806-809,共4页Journal of Practical Radiology

摘　　要：目的探讨国产带膜金属内支架姑息治疗上胃肠道恶性狭窄和食管气管瘘的临床价值。方法32例晚期食管癌、食管-气管瘘、贲门癌、胃窦癌及其术后复发引起的吻合口恶性狭窄患者，在日立TU-41500mA和GE3100-IQ DSA的监视下，将网产带膜金属内支架置入病变段。结果32例37枚带膜内支架置放成功率为100％，患者吞咽困难及上胃肠道梗阻症状明显改善和解除，食管气管漏被封堵．未出现上胃肠道穿孔、大出血或死亡等严重并发症。结论国产带膜金属内支架姑息治疗上胃肠道恶性狭窄和漏安全有效。Objective To discuss the clinical value of using coated metallic stent in the treatment of malignant strictures of the up per gastrointestinal tract and tracheoesophageal fistula . Methods This seris included 32 cases of malignant strictures of the upper gastrointestinal tract and tracheoesophageal fistula . The patients were obtained for localizing the position of stricture before insering metallic stents . The procedure was performed under fluoroscopic guidance of TU 41 500 mA and GE 3100-IQ DSA . Results 37 stents were placed in 32 patients . All stents were successfully placed without any serious complication including the rupture of the esophagus, massive hemorrhage,death and so on. The symptoms of dysphagia and obstruction were relieveded and tracheoesophageal fistula were sealed successfully after stent placement. Conclusion Covered metallic stent is an safe and effective therapy for the treatment of malignant strictures of the upper gastrointestinal tract and tracheoesophageal fistula with less complication.

关 键 词：支架 胃肠道 恶性狭窄 食管-气管瘘 

分 类 号：R573[医药卫生—消化系统] R571[医药卫生—内科学]