金属支架治疗食管癌狭窄的疗效观察  

Observation on the Metal Stents Curative Effect for the Treatment of Esophageal Stenosis

作　　者：孙连明 

机构地区：[1]内蒙古林业总医院,内蒙牙克石022150

出　　处：《中国医学创新》2015年第28期124-127,共4页Medical Innovation of China

摘　　要：目的:分析探讨金属支架治疗食管癌狭窄的临床效果。方法:选取2010年7月-2013年7月36例确诊为食管癌狭窄的患者作为研究对象,所有患者均采经内镜放置覆膜金属支架方法进行治疗,采用回顾性的方法对本组患者的临床资料进行分析,对手术方法及治疗效果进行分析评价。结果:本组36例食管癌狭窄患者经治疗后,手术操作成功率为100%;患者主要临床症状吞咽困难、呛咳、餐后呕吐等临床症状得到明显改善,2周后进食困难分级评分由治疗前的3.26级降至1.03级;实施食管金属支架置入术后主要产生的并发症有疼痛、出血、食管再狭窄、胃食管反流及支架移位等,经过后期治疗,并发症有所缓解或彻底消失;经随访,患者生存期得到显著提高。此外,患者治疗前后焦虑自评量表及抑郁自评量表评分比较,差异有统计学意义(P<0.05)。结论:采用金属支架置入法治疗食管癌狭窄具有显著的治疗效果,操作简单,安全性高,对患者造成的创伤小,手术成功率高,值得临床推广使用。Objective： To analyze and discuss the clinical effect of metal stents on the treatment of esophageal carcinoma stricture. Method： 36 patients diagnosed as esophageal carcinoma stricture from July 2010 to July 2013 were selected as the subjects for this study, and all of them were treated with endoscopic placement of covered metal stents. All the clinical materials from these patients were analyzed retrospectively, and the treatment method and effect were assessed. Result： All the 36 patients with esophageal carcinoma stricture had 100% success rate after treatment. The patients＇ main clinical symptoms like difficulty in swallowing, irritating cough, vomiting after eating had been improved obviously. The grading-score of difficulty in feeding after 2 weeks had decreased from 3.26 before treatment to 1.03. The main complications after the endoscopic placement of covered metal stents were including pain, bleeding, esophageal restenosis, gastro-esophageal reflux and stent shifting, and the complications were reduced or disappeared through subsequent treatment. The follow-up visits showed that the patients＇ survival time had been improved significantly. Moreover, the patients＇ self-rating anxiety scale and self-rating depression scale before and after treatment had a significant difference （ P〈O.05 ） . Conclusion： The treatment of esophageal carcinoma stricture through endoscopic placement of covered metal stents has significant treatment effect, simple procedure, high safety, small surgical trauma to patients and a high success rate that it＇s worth for being widely used in the clinic.

关 键 词：金属支架 食管癌狭窄 临床效果 

分 类 号：R735.1[医药卫生—肿瘤]