内支架缓解食管狭窄的临床研究  

CLINICAL STUDY ON ENDOPROSTHESE APPLIED FOR THE RELIEF OF ESOPHAGEAL STENOSIS

作　　者：张洪福[1] 王庆良[2] 张鹏[2] 李彩霞[2] 丛波[1] 尹秋伟[1] 王善政[1] 

机构地区：[1]山东大学齐鲁医院胸外科 [2]山东大学齐鲁医院放射科

出　　处：《山东医科大学学报》2001年第3期254-255,共2页Acta Academiae Medicinae Shandong

摘　　要：目的 :研究应用镍钛记忆合金网状及带膜内支架 ,“Z”型不锈钢丝带膜内支架缓解食管狭窄的疗效。方法 :食管狭窄 70例分别在X线透视下 ,食管镜下和手术中置入内支架。结果 :70例中 ,随访 4 5例 ,早期置放网状内支架 2例食管腔内黏液堵塞 ,带膜支架术后吞咽困难缓解 ,能进半流质 ,平均存活 8个月。结论 :带膜内支架可明显提高食管狭窄患者的存活质量 ,但不能显著延长食管癌患者带瘤存活时间。关键词　食管狭窄 ;记忆合金 ;不锈钢丝 ;Objective:To expltore the treatment outcome of relieving esophageal stenosis by applying nitinol memory alloy wallstent,filmed endoprosthesis,stainless steel wire “Z”type filmed endoprosthesis.Methods:Contrast research on inserting endoprosthese was performed under fluoroscopic,esophogoscope guidance or in operation.Results:Forty five of 70 patients were followed up,dysphagia relieved except two patients whose esophageal lumen was jamed up with grume early after operation.Semifluid food were given and the average survival time was 8 months.Conclusion:The operation can improve life quality of the sufferer with esophageal stenosis but for the late esophageal cancer patients,their life time cannot be prolonged obviously.

关 键 词：食管狭窄 记忆合金 不锈钢丝 带膜内支架 外科手术 

分 类 号：R655.4[医药卫生—外科学]