覆膜支架置入治疗食管恶性狭窄的临床效果评价  

Clinical Evaluation of the Covered Stent Placements in the Treatment of Malignant Esophageal Stenosis

作　　者：韩洪林[1] 孙景玲[1] 

机构地区：[1]江苏省邳州市人民医院,江苏邳州221300

出　　处：《中国医学创新》2015年第25期129-132,共4页Medical Innovation of China

摘　　要：目的:评价覆膜支架置入治疗食管恶性狭窄的临床效果,并探讨术后并发症的相关因素和对策。方法:115例食管恶性狭窄患者在DSA下经口置入覆膜食管支架。支架使用国产支架,以16 mm直径支架为主。结果:手术成功率100%,共置入覆膜食管支架124枚。术后患者临床症状显著好转或消失。并发症包括严重疼痛2例(1.7%),再狭窄6例(5.2%),支架移位7例(6.0%),支架脱落2例(1.7%),严重贴覆不良2例(1.7%),支架端瘘1例(0.8%),支架腔嵌塞2例(1.7%),大出血1例(0.8%)。结论:覆膜支架置入治疗食管恶性狭窄是一种非常有效的方法,但是有一定风险。Objective： To evaluate the clinical efficacy of the covered stent placements in the treatment of malignant esophageal stenosis and analyze the interrelated factors and counter measures of complications. Method： 115 patients with malignant esophageal stenosis underwent treatment with the covered stent placements through the mouths under DSA fluoroscopy. The stents included China-made and the 16 mm stents were main choice. Result： The successful rate of operation was 100%, 124 covered stents were placed in total. The clinical symptoms of patients disappeared orabated obviously. Complications included ： Severe pain in 2 cases （ 1.7% ）, restenosis in 6 cases （ 5.2% ）, stent migration in 7 cases （ 6.0% ）, stent fell off in 2 eases （ 1.7% ）, serious malapposition in 2 cases （ 1.7% ）, esophagus-mediasti-num fistula in 1 case （ 0.8% ）, stent jam in 2 cases （ 1.7% ）, massive hemorrhage in 1 case （ 0.8% ） . Conclusion： The covered stent placement in the treatment of malignant esophageal stenosis is a high effective method, but there is a certain risk.

关 键 词：食管狭窄 覆膜内支架 介入放射学 并发症 

分 类 号：R730.5[医药卫生—肿瘤]