食道内支架治疗食道恶性狭窄及瘘临床研究及意义  

Clinical application of intraesophageal stent in treatment of malignant esophageal stenosis and fistula

作　　者：熊雪峰[1] 潘璜[1] 唐艳[1] 欧陕兴[2] XIONG Xue-feng PAN Huang TANG Yan OU Shan-xing(Interventional Radiology Section of Radiology Department, the 171st Hospital of the PLA, Jiujiang 332000, Jiangxi Province, China Radiology Department, Guangzhou General Hospital of Guangzhou Military Area Command, Guangzhou 510010, China)

机构地区：[1]解放军171医院放射科介入室,江西九江332000 [2]广州军区广州总医院放射科,广州510010

出　　处：《医疗卫生装备》2016年第10期90-92,共3页Chinese Medical Equipment Journal

摘　　要：目的:探讨食道内支架治疗食道恶性狭窄及瘘的临床应用。方法:X线透视下采用支架置入器,将自扩式被膜支架放在患者食道狭窄段及瘘口处完成支架的置入。结果:本组53例患者均一次性置入支架,成功率100%,2 h后患者进食,47例患者出现不适症状,3例患者食道胸腔瘘堵瘘术后出院。结论:X线透视下行食道内支架置入治疗恶性食管狭窄是一种成功率高、并发症少、能够改善症状且能够延长患者生存期的有效治疗方法。Objective To explore the clinical application of intraesophageal stent to the treatment of malignant esophageal stenosis and fistula. Methods A self-expanding enveloped stent was placed at the stenosis segment and esophagostoma with an introducer under X-ray fluoroscopy. Results All the 53 patients involved had the stents implanted in one time with the success rate being 100%, and took food 2 hours after operation. There were 47 patients complained about discomfortableness, and 3ones were discharged after repair of esophageal thoracic fistula. Conclusion The implantation of intraesophageal stent under X-ray fluoroscopy gains advantages in high success rate, few complications and survival time when used to treatment malignant esophageal stenosis.

关 键 词：食道癌 食道瘘 狭窄 食道内支架 

分 类 号：R735.1[医药卫生—肿瘤]