食管支架术后并发症及对策  

Complication and its countermeasure of insertion of esophageal stent

作　　者：刘竹娥[1] 陈香宇[2] 石定[1] 

机构地区：[1]新乡医学院第一附属医院内镜治疗中心,卫辉453100 [2]郑州大学消化疾病研究所

出　　处：《胃肠病学和肝病学杂志》2002年第2期169-170,198,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的　探讨食管支架置入术后的并发症及其对策。方法　对 5 2例严重食管狭窄及食管癌合并有瘘的患者给予食管支架治疗 ,术前先扩张狭窄部位 ,术后部分患者辅以内放疗。结果　 96 1%患者 1次置入成功 ,10 0 %患者近期效果好 ,术后主要并发症有再狭窄、胃食管反流、支架移位和脱落。结论　食管支架是治疗食管狭窄的有效方法 ,其并发症可采取防范措施 ,术后给予辅助治疗可减少或防止再狭窄的发生。Aim To investigate the complication and its countermeasure of insertion of esophageal stent.Methods Fifty-two patients with constriction or fistula in esophagus were inserted stent. Constriction was dilated before the stent was inserted, and part of the patients were treated with inner radiotherapy after the insertion.Results The insertion was successful at the first time in 50 cases (96.l%), and the recent efficacy of all the patients was good.The complication included restenosis,gastroesophageal reflux, stent displacement and abscission.Conclusions The insertion of esophageal stent is an efficient therapy. The complication is preventable. Aided treatment after the insetion may reduce or prevent restenosis.

关 键 词：食管支架 并发症 对策 

分 类 号：R655.4[医药卫生—外科学]