食管癌支架置入术后移位原因分析及处理  

Treatment and casual analysis of post-operative displacement of stent implantation in esophageal cancer patients

作　　者：雷甜甜[1] 杨鼎瑜 陆清[1] 马洪升[1] Lei Tiantian Yang Dingyu Lu Qing Ma Hongsheng(Gastroenterology of Department, West China Hospital of Sichuan University, Sichuan 610041, China)

机构地区：[1]四川大学华西医院消化内科,成都610041

出　　处：《中华胃肠内镜电子杂志》2016年第3期132-136,共5页Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition)

摘　　要：临床上广泛应用的食管支架置入术是姑息性治疗中、晚期食管癌的重要措施。支架术后移位作为其常见并发症之一,因严重影响患者生存质量,成为目前亟待解决的难题。支架移位的原因包括支架类型及病变部位不同、操作不当、支架联合新辅助治疗、患者进食不当等。临床上常见的处理方法包括内镜下复位、内镜下钳取回收或重置、外科手术取出、自行排出体外及直接再次置入新的支架。Esophageal stent implantation is an important measure for palliative treatment of advanced esophageal carcinoma,and it is widely applied clinically. As one of the common complications,postoperative displacement seriously affects the quality of life of patients,which is urgently needed to be settled currently. Causes of stent displacement include different stent type and different parts of the lesion,improper operation,combining with neoadjuvant therapy,improper feeding of the patients,etc. Common methods of treatment include endoscopic replacement,endoscopic clamp recovery or replacement,surgical removal,self discharge in vitro and place new stent again.

关 键 词：食管癌 支架 移位 原因 处理 

分 类 号：R735.1[医药卫生—肿瘤]