食道内支架置入术并发症防治分析  

Analysis of the pervention and treatment of complications of esophagcal stand implantation

作　　者：肖亮[1] 邵尉[1] 周玉滨[1] 徐克[1] 

机构地区：[1]中国医科大学第一临床学院放射线科,110001

出　　处：《辽宁医学杂志》2001年第2期68-70,共3页Medical Journal of Liaoning

摘　　要：目的　分析食道内支架置入术并发症的可能原因及防治方法。方法　 5 1例病人 ,良性狭窄 14例 ,恶性狭窄 37例 ,其中伴瘘道形成者 18例。共置入各种支架 5 9枚。随访观察 3～ 2 4个月。结果　内支架置入全部成功 ,术后患者症状改善。术后 1～ 16周出现并发症包括胸痛及异物感 5 0例、支架阻塞 10例、便血 3例、大咯血 3例、支架移位 2例、新瘘形成 1例、颈部食道皮肤瘘 1例。经过相应的治疗 ,除 3例大咯血患者外 ,其余并发症均得到纠正。结论　食道内支架置入术是治疗食道良、恶性狭窄有效的非手术方法 ,有利于延长生存时间。Purpose To analyse the causes of complications of esophageal stent implantation and study how to prevent and treat them. Methods Treated by metallic stent 14 patients with benign stricture in esophagus, 37 patients with malignant stricture in esophagus. 36 males and 15 females aged ranged from 35 to 80, were discussed in this article. 59 stents had been implanted. Follow up 3～24 month. Result All stents had been successfully placed, Patients could eat more easily after the operations. Complications of stent implantation include pain(n=50),block(n=10),emptysis(n=3),translocation(n=2),new fistula(n=1).Almost all complications had been cured.Conclusions Metallic stent implantation is an effective method to treat benign and malignant stricture in esophagus, and could elevate the life quality of patients significantly.

关 键 词：金属内支架置入术 食道狭窄 并发症 

分 类 号：R655.4[医药卫生—外科学]