上消化道支架置入术治疗良恶性狭窄和食管气管瘘125例临床分析  

Clinical analysis of upper gastrointestinal stenting in the treatment of the benign and malignant esophageal stenosis and tracheal fistula in 125 cases

作　　者：杜军[1] 刘晓燕[1] 丁晓春[1] 汤海涛[1] 

机构地区：[1]安徽医科大学附属六安医院消化内科,安徽六安237005

出　　处：《蚌埠医学院学报》2014年第7期886-889,共4页Journal of Bengbu Medical College

摘　　要：目的:探讨上消化道支架置入术对良恶性上消化道狭窄和/或食管气管瘘及并发症的治疗效果。方法:对125例上消化道良恶性狭窄和/或合并食管气管瘘的患者采用镍钛记忆合金支架置入术,观察术后近期疗效和主要并发症。结果:良恶性狭窄的吞咽困难、进食困难和食管气管瘘的呛咳症状得到改善,近期疗效达100.00%。主要并发症为疼痛、胃食管反流、支架移位、脱落和食管再狭窄。结论:上消化道支架置入术是治疗中晚期上消化道良恶性狭窄的有效方法之一,对食管气管瘘的封堵效果也很好。并发症处理后大部分能够得到缓解。Objective：To explore the effects of the upper gastrointestinal stenting in the treatment of the benign and malignant esophageal stenosis and（or） tracheal fistula and their complications.Methods：One hundred and twenty-five cases with benign and malignant esophageal stenosis and （or） tracheal fistula were treated with Nitinol stenting implantation.The short-term effects and complications were observed after operation.Results：The symptoms of dysphagia,difficulty in feeding and cough caused by tracheoesophageal fistula were obviously improved.The pain,gastroesophageal reflux,stent displacement and abscission and restenosis of esophagus were the main complications.Conclusions：The upper gastrointestinal stenting is an effective method to treat the benign and malignant esophageal stenosis,the plugging effects on tracheoesophageal fistula are good.The complications can be relieve after treatment.

关 键 词：消化系统疾病 食管气管瘘 狭窄 支架 

分 类 号：R57[医药卫生—消化系统] R562.13[医药卫生—内科学]